This was an unannounced comprehensive inspection that took place on 2 and 3 August 2016. It was the first inspection of Sandbourne House since the registration of Sandbourne Home (Dorset) Limited. Sandbourne House previously operated as a partnership under a different registration. The service provides accommodation and personal care for up to eight adults with a learning disability. At the time of the inspection seven people lived at the home.There was a registered manager at the home at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Overall, people were being well cared for and supported at Sandbourne House.
The registered manager had good systems to make sure that the environment and way people were looked after were safe. Risk assessments had been completed ensuring care was delivered safely with action taken to minimise identified hazards. The premises had also been risk assessed to make that the environment was safe for people.
Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse and how take action if they had concerns.
Accidents and incidents were monitored to look for any trends where action could be taken to reduce chance of their recurrence.
Sufficient staff were employed at the home to meet the needs of people accommodated.
Robust recruitment were followed to make sure that suitable, qualified staff were employed at the home.
Medicines were managed safely.
The staff team were both knowledgeable and suitably trained.
Staff were well supported through supervision sessions with a line manager, and an annual performance review.
Staff and the manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interests where people lacked capacity to consent.
The home was compliant with the Deprivation of Liberty Safeguards, with appropriate referrals being made to the local authority.
People were provided with a good standard of food and were fully involved in planning menus and what they wanted to eat.
Staff had good morale and knew people’s needs. People were treated compassionately.
People’s care needs had been thoroughly assessed and care plans put in place to inform staff of how to support people. The plans were person centred, covered all areas of people’s needs and were up to date and accurate.
People enjoyed a range of activities that they had chosen.
There were complaint systems in place and people made aware of how to complain.
Should people need to go into hospital, systems were in place to make sure that important information would be passed on so that people could experience continuity of care.
The home was well led. There was a very positive, open culture in the home.
There were systems in place to audit and monitor the quality of service provided to people.