Background to this inspection
Updated
3 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Sandylee is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection-
We spoke with two people who used the service about their experience of the care provided. We spoke with five members of staff including the provider, registered manager, a team leader and two care workers. We reviewed a range of records. This included two people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We sought feedback from three relatives and one other member of staff.
Updated
3 April 2020
About the service
Sandylee is a residential care home providing accommodation and personal care for six people with a learning disability and/or autism at the time of the inspection. The service can support up to seven people in one adapted building.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People received high-quality care from a service which was extremely well-led. The registered manager took pride in ensuring people received personalised support from a staff team who were dedicated and committed and told us they felt valued and respected. The registered manager led by example and promoted an inclusive and positive culture within the service. Governance frameworks were embedded within with service to both maintain and continually drive improvement.
There were sufficient numbers of staff to meet people’s needs. People’s risks were managed in a safe way and people were protected from the risk of abuse and harm as staff were trained to identify and respond to concerns of abuse.
People’s needs were assessed, and care plans were reviewed to ensure people received consistent support. Staff worked well with one another and with other agencies and professionals to improve people’s health and well-being. People were supported to have 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.
Staff were kind and were committed to delivering support in line with people’s wishes and needs, promoting people’s independence and preserving dignity and respect. People’s social needs were met, and people were given choice about the way in which they lived their lives.
People and their relatives were consulted about the home and the way in which it was run and told us actions were taken as a result of feedback provided. People felt reassured complaints would be dealt with in line with the provider’s complaints policy.
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 27 September 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.