Archived: Sanctuary Supported Living (Bromley Care Services)

Updated 9 July 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: A single inspector carried out this inspection.

Service and service type: This service provides care and support to people living in a supported living setting, so they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate the premises used for supported living; this inspection looked at people's personal care and support.

The service had a manager who had applied to be registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection site visit took place on 01 May 2019 and was announced. We gave the service 5 days' notice of the inspection site visit because we needed to be sure people using the service would be available to speak with us in person.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse and accident and incidents. We sought feedback from the local authorities who commission services from the provider and professionals who work with the service. Usually the provider is asked to complete a provider information return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We use all this information to plan our inspection. However, on this occasion they had not been asked to complete the form.

During the inspection,

We spoke with three people to ask their views about the service. We spoke with four members of care staff and registered manager. We reviewed records, including the care records of six people using the service, recruitment files and training records for six staff members. We also looked at records related to the management of the service such as quality audits, accident and incident records, and policies and procedures.

Updated 9 July 2019

About the service

Sanctuary Supported Living (Bromley Care Services) provides personal care to people living in their own homes. It provides services for adults with learning and physical disabilities. At the time of our visit, the service was providing support for 21 people at three supported living locations.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People's experience of using this service Medicines were not always safely managed. Staff did not always record when topical cream was administered. People said they felt safe and that their needs were met. People were protected against the risk of infection. Assessments were carried out to ensure people's needs could be met. Risks were identified, and management plans were in place to manage these safely. Accidents and incidents were appropriately managed and learning from this was disseminated to staff.

Appropriate numbers of suitably skilled staff were available to meet people's needs. Staff understood people individual needs and were supported through induction, training and supervisions.People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported and encouraged to eat a healthy and well-balanced diet. People had access to different healthcare professionals when required to maintain good health.

People’s privacy, dignity was respected and their independence was promoted. Information was available to people in a range of formats to meet their communication needs if required. There was a system in place to respond to complaints in timely manner.

The service was not currently supporting people who were considered end of life, if they did this would be recorded in their care plans. There were effective systems in place to assess and monitor the quality of the service provided. The provider worked in partnership with key organisations to ensure people's needs were planned and met.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: The last rating of the service was good (published on 13 December 2016)

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.