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Inspection Summary


Overall summary & rating

Good

Updated 27 October 2016

The inspection took place on 07 October 2016, and was an announced inspection. The registered provider was given 48 hours' notice of the inspection. At the previous inspection on 18 February 2014 no breaches were found.

Sentinel Care is a very small service in the South East that provides live in carers only, supporting adults in their own homes. The service provides support for people living with dementia, physical disabilities and terminal illness.

At the time of this inspection there were 4 people receiving support with their personal care. The service provided one to one support hours to people, for 24 hours a day, over either a two or four week period.

The service is managed by the registered provider. Registered providers 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 and relatives were involved in the initial assessment and the planning of their support. Care plans contained details of people's wishes and preferences, and were regularly reviewed to ensure they contained up to date information.

Risks associated with people's support had been identified and clear guidance was in place to keep people safe.

People had their needs met by sufficient numbers of live in carers. People received a service from a very small and consistent team of live in carers, who were recruited to match the people they supported. New live in carers underwent an induction programme, which included relevant training courses and shadowing experienced staff, until they were competent to work on their own.

Live in carers received training appropriate to their role, which was refreshed regularly to ensure staffs knowledge remained up to date. The registered provider had supported all live in carers to gain qualifications in health and social care.

People were supported to maintain good health and attend appointments and check-ups. People's medicines were handled in line with the registered providers policy and procedures.

People and relatives felt they were treated with dignity and respect and that the live in carers were kind and caring.

People and relatives felt people were safe using the service. The service had safeguarding procedures in place and all live in carers had received training in these.

People had opportunities to provide feedback about the service provided. Systems were in place to ensure the service ran effectively and people received a quality service.

The registered provider completed checks to ensure that the service operated in an efficient and effective manner, ensuring that people were appropriately supported. There was a business plan in place with aims and objectives and live in carers followed this through in their practice.

Inspection areas

Safe

Good

Updated 27 October 2016

The service was safe.

Risks associated with people's care and support had been assessed and guidance was in place to ensure they were kept safe.

There were systems to ensure people received their medicines safely, which included live in carers receiving medicines training.

People were protected by safe recruitment procedures and there were sufficient numbers of live in carers to meet people's care and support needs.

Effective

Good

Updated 27 October 2016

The service was effective.

People received care and support from a very small team of regular live in carers. People were encouraged people to make their own decisions and choices.

People were supported to maintain good health. Live in carers worked with health care professionals, such as district nurses to resolve and improve any health concerns.

People received care and support from trained live in carers who knew their needs well.

Caring

Good

Updated 27 October 2016

The service was caring.

People were treated with dignity and respect and told us live in carers adopted a kind and caring approach.

Carers took time to listen and interact with people so they received the care and support they needed.

People were able to make choices about their care and their views were taken into account.

Responsive

Good

Updated 27 October 2016

The service was responsive.

People received personalised care, which was recorded in their care plans and reflected their wishes and preferences. Care plans were reviewed and updated in a timely manner.

People felt comfortable if they needed to complain, but did not have any concerns. People had opportunities to provide feedback about the service they received.

Well-led

Good

Updated 27 October 2016

The service was well-led.

There was an open and positive culture, which was focussed on people.

There were systems in place to monitor the quality of care people received.

The registered provider worked closely with people, their relatives and the live in carers, which meant any issues were resolved as they occurred and helped ensured the service ran smoothly.