Archived: Sandringham

Sandringham provides accommodation and personal care for up to 20 people some of whom may be living with dementia. At the time of our inspection 20 people were living at the service.

At our last inspection the service was rated as Good. At this inspection we found the service remained Good.

The registered manager had left the service and a new manager will be registering with the CQC.

The service was safe. Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

The service was effective. People were cared for and supported by staff who had received training to support people to meet their needs. The chief executive had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough so as to ensure they maintained a balanced diet. Referrals to healthcare professionals were made when required to ensure people’s healthcare needs were preserved.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions. Suitable arrangements were in place to ensure people were treated with respect and dignity.

The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The provider responded to complaints in a timely manner.

The service was well-led. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis.

Our observations indicated that people living at the service were happy, that they felt safe and were well cared for. It was evident that people who used the service had a good relationship and rapport with the staff who supported them. Comments included, "I have no complaints it's fine" and, "Oh its fine, the staff are very nice."

People's health and personal care needs were assessed and there were care plans in place for the majority of people who used the service. Improvements were required to ensure that people who used the service had robust information recorded in relation to their social care needs. Staff spoken with demonstrated a good understanding of people's health and personal care needs and how each person wished to be supported.

The provider was able to demonstrate that a robust staff recruitment policy and procedure was in place and followed to ensure that people living at the service were kept safe. We found that people had their dietary and hydration needs met and that the dining experience for them was positive. We also found that cleanliness and infection control procedures at the service were appropriate. Improvements were required to ensure that the service was appropriately staffed and/or the rosters were maintained to accurately reflect staff on duty at all times.