We carried out a review of the data available to us about Sadlers Place on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Sadlers Place, you can give feedback on this service.
We found the following examples of good practice.
• Personal Protective Equipment including masks, gloves and aprons were available to visitors on entry to the building. A screening tool was completed prior to entry to ensure any visitors had not been exposed to COVID-19. Visitors were required to undertake a lateral flow test prior to visiting the home.
• Staff had received training in how to use personal protective equipment (PPE) and staff practice in donning and doffing was monitored by management to ensure safe application of PPE.
• The management implemented a tracking system to ensure staff completed COVID-19 testing in line with current national guidance. This was monitored by a dedicated team set up by the provider to monitor compliance with COVID-19 testing.
Sadlers Place is a residential care home providing personal care for up to nine people, including younger adults, who may have physical and or a learning disability and/or autistic spectrum disorder. At the time of our inspection, eight people were living at the service. The accommodation is provided in a purpose-built house, with bedrooms and bathrooms on the first floor, with stairs and passenger lift access. People have use of communal areas including lounges, activities room, dining room and garden.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them having as many opportunities as possible to continue their daily routines and maintain their independence.
People’s experience of using this service and what we found
People were happy living at the home and had trusting, mutually respectful relationships with staff. People received highly personalised, responsive care from staff who went above and beyond to ensure people achieved positive outcomes and were as independent as they wished. Staff were warm and caring and respected people’s privacy and dignity at all times.
Professionals and relatives were highly complimentary about the person-centred care and support people received. Professionals praised the registered manager’s leadership and collaborative approach to working with other health services and families, which improved people’s quality of life.
People felt safe and were protected from the risk of harm by staff who understood their responsibilities to identify and report any signs of potential abuse. There was a consistent approach to safeguarding and any concerns were taken seriously and investigated thoroughly in an objective way.
People had maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were fully involved in their care and the running of the home. People decided how they spent their time and were supported to follow their interests and engage in a variety of activities which met their individual needs and preferences. People attended local groups and organisations and there were effective links with other services to increase people's circle of friends.
People’s care and support plans reflected their needs and preferences and were regularly reviewed. People’s diversity was recognised and promoted by the staff and systems were in place to meet people’s communication needs.
Staff were well trained and supported to meet people’s changing needs. The provider ensured there were sufficient, suitably recruited staff to meet people's needs and promote their wellbeing.
Risks associated with people's care, including receiving their prescribed medicines, were identified and managed safely,
People were supported to maintain a healthy diet in line with their needs and preferences, and to access other professionals to maintain good health.
People benefitted from a service that had an open and inclusive culture, led by a registered manager who was committed to improving people’s care and support. Governance arrangements were well embedded and effective in highlighting and rectifying any shortfalls. Staff respected the registered manager and felt valued and supported in their role.
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 for this service was Good (published 17 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The provider of Sadlers Place is registered to provide accommodation for up to nine people who may have a learning disability, or autistic spectrum disorder, older people, physical disabilities, sensory impairment and younger adults. At the time of our inspection nine people lived at the home. Bedrooms, bathrooms and toilets are situated over two floors with stairs and passenger lift access to the first floor. People have use of communal areas including lounges, activities room and dining room.
There was a registered manager in post who was supported by a deputy manager. 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.
People told us the staff who cared for them understood their safety needs. Staff cared for people in ways which promoted their safety, based on people’s individual risks. Staff knew what action to take to protect people from the risk of potential abuse. There were enough staff employed to care for people so they received care promptly and their safety and well-being needs were met. Where people wanted assistance to take their medicines this was given by staff who knew how to do this safely.
People benefited from receiving support from staff with the knowledge and skills to care for them and staff recognised people’s rights. People enjoyed their mealtime experiences, and had enough to eat and drink to remain well. When people required medical assistance and advice from health professionals this was facilitated.
People had developed very caring relationships between people and staff. People and their relatives were extremely positive about the staff that supported them. Staff worked in ways which made people feel valued and included and recognised them as individuals. Staff took time to chat to people and show interest in how they spent their time. People were encouraged to make their own day to day decisions about their care and maintain as much independence as possible. People were supported by staff to achieve their ambitions. Where people needed support to do this this was given by staff. People’s right to privacy was taken into account in the way staff cared for them.
Positive comments were received about the way the home was managed and people and staff were encouraged to make suggestions for developing care further. Staff knew how they were expected to care for people. The registered manager and provider checked the quality of the care provided and people and their relatives were actively encouraged to give feedback on the care they received and involved in the running of the home, so improvements would be driven through. The registered manager encouraged people to become quality checkers so they could actively assist and keep people at the heart of the improvement of services throughout the provider’s homes.
This unannounced inspection took place on 27 May 2015. At our last inspection on 3 May 2013 we found the provider was meeting the requirements of the regulations we inspected.
Sadlers Place is a residential home providing accommodation for up to nine younger adults with learning disabilities or autistic spectrum disorder, older people, physical disabilities and sensory impairment. At the time of our inspection nine people were living there. The home had a registered manager in post. 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.
People told us that they felt safe at the home. We saw that the provider had systems in place to protect people from potential harm. People were supported by staff who understood how to protect people from abuse. Staff understood their responsibility to report issues of concern.
Risks to people had been assessed and appropriate equipment was available for staff to use. People received their medicines at the correct time and as prescribed. Medicines were managed, stored and administered safely.
People and their relatives told us there were enough staff to support people living at the home, which staff confirmed. The provider had safe processes in place to recruit new staff and carried out pre-employment checks. Staff completed an induction, received regular one to one meetings with their manager and had the skills and training they needed to meet peoples’ needs.
Assessments of people’s capacity to consent had been completed where necessary and records and decisions had been completed in people’s best interest. The registered manager and staff understood their responsibility to protect people’s rights.
People we spoke with were happy with the food and felt that they had a choice of what they would like to eat and drink. Healthy option meals were available for people to consider. People had access to healthcare professionals, such as doctors and speech and language teams, to ensure that their health care needs were met.
People told us staff were kind and caring in their approach. People and their relatives felt listened to and involved in developing a plan of their care needs. Staff understood people’s choices and preferences and respected their dignity and privacy.
People were supported to maintain relationships. Relatives we spoke with said they were made to feel welcome when they visited the home. People were supported to maintain their interests and hobbies and were given the opportunity to participate in a variety of activities with others or individually.
People told us the home was well managed with an open positive culture. People said the management team was approachable and visible. People and their relatives felt comfortable to raise any concerns or complaints with the registered manager or staff team. The provider had a system in place to respond to people’s complaints and concerns.
There were audit systems in place to monitor the quality of the service people received. There were regular checks of people’s care plans, medicine administration, incident and accidents. There was evidence that learning and improvement took place from audits and changes were made to improve the home.