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Sandrock House Residential Care Home Outstanding

Reports


Inspection carried out on 5 September 2017

During a routine inspection

The inspection took place on 5 September 2017 and was unannounced. The last comprehensive inspection took place in March 2015, when the registered provider was meeting the regulations and the service was rated good.

Sandrock House is a care home situated in the Bessacarr area of Doncaster. It is registered to provide personal care for up to 37 people. The care provided is for people who have needs associated with those of older people and people living with dementia.

The service is near public transport and is in easy distance of the town centre and other amenities.

At the time of our inspection there was 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.

The registered manager and registered provider were committed to maintaining a high quality service which was based on the individual needs and preferences of people who used the service. The registered provider and registered manager were passionate about the service and ensured staff were trained and focused in providing person centred care.

There was a strong emphasis on continual improvement and best practice which benefited people who used the service. The registered provider was committed to ensuring the service constantly improved and kept people who used the service at the centre of new initiatives.

The registered provider and registered manager were committed to use innovative and creative ideas to achieve high standards and to ensure people were empowered and given opportunities to voice their opinions. The service was managed in a person centred way making sure people who used the service were at the heart of everything. The registered provider placed a strong emphasis on improvement and worked towards and achieved recognised quality accreditation schemes such as the Gold Standards Framework for End of Life Care, a malnutrition project and a project with the emergency care practitioner’s to develop staff skills around basic observations. This report gives examples about how these projects have impacted on people’s lives.

People were protected from abuse and avoidable harm. Staff we spoke with were extremely knowledgeable about the procedure to follow for reporting concerns of a safeguarding nature. Staff were also aware of the whistle blowing procedure and confirmed that they would not hesitate to use this if required.

Risks associated with people’s care were identified and plans were in place to help minimise the risk from occurring. Staff were knowledgeable about risks and knew how to prevent them.

We found medicines were managed in a safe way and people received their medicines as prescribed. Medicines were stored appropriately and temperatures were taken of the medicine rooms and fridge.

Through our observations and talking with relatives of people who used the service and the staff, we found there were enough staff to meet people’s needs. Staff told us there was enough of them to assist people without rushing and they had time to spend talking with people.

The registered provider had a safe recruitment process in place. Pre-employment checks were carried out prior to the person commencing their employment at the service.

Staff received training which gave them the skills and knowledge to carry out their role effectively. Training was refreshed on a regular basis to ensure their knowledge was updated and well maintained. The registered provider was also committed to their own training and was currently in the process of completing a level 5 management diploma.

People received a healthy, balanced diet that met their needs and ensured they received appropriate nutritious food and drink intake. The registered provider was involved in a project which ensured people received the right nutrition to maintain their calorie intake and to prevent people loosing unnecessary weight and becoming malnourished.

The registered provider was meeting the requirements of the Mental Capacity Act 2005. Care plans included information regarding capacity and this was assessed on an individual basis and was decision specific.

People who used the service and their relatives were extremely satisfied with the home and felt it provided a safe and comfortable environment where their preferences and wishes were upheld. The registered manager and staff team were committed to a strong person centred culture. Key values such as kindness, caring, respect and privacy were reflected on the day of our inspection and were embedded in to practice.

We observed staff interacting with people who used the service and found they were exceptionally caring and committed in providing person centred support. Staff shared a passion which ensured people felt valued and were at the heart of their care. People we spoke with felt valued and respected.

We looked at care records belonging to people who used the service and we found they reflected people’s needs and preferences. Social activities and stimulation were provided which were arranged by two activity co-ordinators. People felt able to raise concerns and told us the registered provider took appropriate actions to resolve them.

Further information is in the detailed findings below

Inspection carried out on 3 & 5 February 2015

During a routine inspection

The inspection took place on 5 September 2017 and was unannounced. The last comprehensive inspection took place in March 2015, when the registered provider was meeting the regulations and the service was rated good.

Sandrock House is a care home situated in the Bessacarr area of Doncaster. It is registered to provide personal care for up to 37 people. The care provided is for people who have needs associated with those of older people and people living with dementia.

The service is near public transport and is in easy distance of the town centre and other amenities.

At the time of our inspection there was 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.

The registered manager and registered provider were committed to maintaining a high quality service which was based on the individual needs and preferences of people who used the service. The registered provider and registered manager were passionate about the service and ensured staff were trained and focused in providing person centred care.

There was a strong emphasis on continual improvement and best practice which benefited people who used the service. The registered provider was committed to ensuring the service constantly improved and kept people who used the service at the centre of new initiatives.

The registered provider and registered manager were committed to use innovative and creative ideas to achieve high standards and to ensure people were empowered and given opportunities to voice their opinions. The service was managed in a person centred way making sure people who used the service were at the heart of everything. The registered provider placed a strong emphasis on improvement and worked towards and achieved recognised quality accreditation schemes such as the Gold Standards Framework for End of Life Care, a malnutrition project and a project with the emergency care practitioner’s to develop staff skills around basic observations. This report gives examples about how these projects have impacted on people’s lives.

People were protected from abuse and avoidable harm. Staff we spoke with were extremely knowledgeable about the procedure to follow for reporting concerns of a safeguarding nature. Staff were also aware of the whistle blowing procedure and confirmed that they would not hesitate to use this if required.

Risks associated with people’s care were identified and plans were in place to help minimise the risk from occurring. Staff were knowledgeable about risks and knew how to prevent them.

We found medicines were managed in a safe way and people received their medicines as prescribed. Medicines were stored appropriately and temperatures were taken of the medicine rooms and fridge.

Through our observations and talking with relatives of people who used the service and the staff, we found there were enough staff to meet people’s needs. Staff told us there was enough of them to assist people without rushing and they had time to spend talking with people.

The registered provider had a safe recruitment process in place. Pre-employment checks were carried out prior to the person commencing their employment at the service.

Staff received training which gave them the skills and knowledge to carry out their role effectively. Training was refreshed on a regular basis to ensure their knowledge was updated and well maintained. The registered provider was also committed to their own training and was currently in the process of completing a level 5 management diploma.

People received a healthy, balanced diet that met their needs and ensured they received appropriate nutritious food and drink intake. The registered provider was involved in a project which ensured people received the right nutrition to maintain their calorie intake and to prevent people loosing unnecessary weight and becoming malnourished.

The registered provider was meeting the requirements of the Mental Capacity Act 2005. Care plans included information regarding capacity and this was assessed on an individual basis and was decision specific.

People who used the service and their relatives were extremely satisfied with the home and felt it provided a safe and comfortable environment where their preferences and wishes were upheld. The registered manager and staff team were committed to a strong person centred culture. Key values such as kindness, caring, respect and privacy were reflected on the day of our inspection and were embedded in to practice.

We observed staff interacting with people who used the service and found they were exceptionally caring and committed in providing person centred support. Staff shared a passion which ensured people felt valued and were at the heart of their care. People we spoke with felt valued and respected.

We looked at care records belonging to people who used the service and we found they reflected people’s needs and preferences. Social activities and stimulation were provided which were arranged by two activity co-ordinators. People felt able to raise concerns and told us the registered provider took appropriate actions to resolve them.

Further information is in the detailed findings below

Inspection carried out on 22 May 2013

During a routine inspection

We spoke with five people who used the service. They spoke positively about the care and support they received. They confirmed the standard of care was good and staff took account of their wishes. One person told us "I have no complaints at all, I get good care and staff respect my wishes." Another person told us "Staff are very good, they sort things out quickly."

People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment, or when they moved between different services. This was because the provider worked in co-operation with others.

There were effective systems in place to reduce the risk and spread of infection. The home was clean and well maintained. People we spoke with confirmed staff washed their hands and wore protective clothing when providing care.

We found people were cared for, or supported by, suitably qualified, skilled and experienced staff. Staff we spoke with were clear about their role and responsibilities.

There was an effective complaints system available. Comments and complaints people made were responded to appropriately. People we spoke with confirmed they could raise any concerns with staff and these would be acted on.

Inspection carried out on 2 August 2012

During a routine inspection

During our inspection we spoke with five people who used the service. They spoke positively about the care and support they received. They told us they liked living in the home and confirmed they were well supported to make choices and decisions about their care. We received comments such as: "I'm being looked after very well, I like it here a lot" and "Care is very good, they (the staff) don't cut any corners."

People living in the home, confirmed they felt safe and said they liked the staff who looked after them. One person said: "It's very safe; staff are very kind and look after us very well." Another person told us: "Staff are very caring; they sort out problems or concerns quickly."

Inspection carried out on 4 April 2012

During a routine inspection

People told us that they liked living at Sandrock House because it was homely and people were friendly. One person told us they had chosen to live there as it was close to where their family lived so they could visit.

Relatives told us that they felt staff provided appropriate care and support. They said the proprietor was there most days and was very visible and approachable.