Archived: Sabrina House

Sabrina House is a residential care home that is registered to provide accommodation and personal care to 14 people. At the time of our inspection 14 people were receiving regulated activity at Sabrina House.

People’s experience of using this service:

People told us they felt safe living at Sabrina House. We saw systems and processes continued to be implemented to keep people safe. Although systems were implemented, we noted new arrangements for the safe management of medicines had been recently implemented at the home. We found good practice guidelines were not always followed. We have made a recommendation about this.

We were repeatedly told by health and social care professionals and relatives that care was provided in a person-centred way which enabled people to experience very positive outcomes. Staff were committed to and worked innovatively to promote health and well-being. They embraced good practice guidance and training to enable them to deliver person-centred support. The service had recently been presented with the Creative Inspiration Musical Care Home 2018 award at a Creative Health Conference in recognition of the work completed by staff to increase well-being through music.

Contact with community resources and support networks were encouraged and sustained. The service understood the importance of combatting isolation and encouraged people to develop and maintain relationships. The home was an active part of the community, having links with nearby schools and colleges. One child who had been involved in some work with people who lived at the home had described the experience as, “life-changing”.

People, relatives and health and social care professionals told us staff were kind and caring and often exceeded expectations. The service understood the importance of protecting people’s human rights; dignity, independence and privacy was always considered and promoted.

People’s received timely support to ensure their health care needs were met. We received repeated praise from relatives and health and social care professionals. They said people’s health had improved because of effective care being provided at the home.

People told us they were happy with the quality and choice of food provided at the home. They said they were consulted with and personal preferences were taken into consideration.

Consent was recorded in people’s care files and relevant deprivation of liberty applications had been submitted when people were being deprived of their liberty. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Everyone we spoke with repeatedly told us the home was well-led. Our observations showed this was the case. The management team and staff had clear roles and responsibilities and were committed to ensuring the service was high performing. Regular audits of the service took place to ensure care was safe, effective and in line with regulation.

Managers and staff had a clear vision of what was required of a quality service and ensured this was maintained. Feedback was continuously gained from all parties to develop and improve the service.

Staff told us they were adequately supported by the management team and said training was good. They repeatedly said morale was good and all staff who worked at the home genuinely cared.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At the last inspection the service was rated good (published 25 October 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.

Sabrina House is registered to provide accommodation with personal care for up to a maximum of 14 people. There were 13 people were living at the home during our inspection. Some people were living with dementia.

There was a registered manager in post who was present during our inspection. 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 felt safe living at the home as staff were always available to support them when needed.

There were enough staff to meet people’s needs safely and in a timely manner. The provider followed safe recruitment procedures to ensure potential new staff were suitable to work at the home before they started work there.

People were protected from abuse and avoidable harm by staff who were able to recognise and report abuse. Risks to people’s wellbeing were assessed and guidance put in place to support their independence and minimise risks to their wellbeing. Staff took appropriate action to deal with accidents and prevent them happening again.

People were supported to take their medicine when they needed it. Only staff who had received training to administer medicine did so. Medicines were secured safely and accurate records maintained. Staff received annual competency assessments to ensure they continued to manage medicines safely. Staff monitored people’s wellbeing and arranged health care appointments when required.

Staff felt well supported and valued. Staff were provided with training to meet the individual needs of people living at the home and to further their career opportunities.

People enjoyed the food and were offered choice. People’s nutritional needs were routinely assessed, monitored and reviewed. People were provided with equipment to enable them to eat independently.

Staff sought people’s consent before they supported them. People were supported to make their own choices and these were respected. Staff understood the principles of the Mental Capacity Act and how to protect people’s rights.

Staff treated people with kindness and compassion. People were given choice and felt listened to.

Staff had formed positive working relationship with people and their relatives. There was a warm and welcoming atmosphere at the home which was enjoyed by people and their visitors. Staff promoted people’s dignity and independence.

People received individualised care that was tailored to their needs and preferences. People were able to spend their time as they wished and were provided with opportunities to take part in a variety of activities.

People had not had cause to complain but were confident that should the need arise these would be dealt with promptly. The provider sought the views of people and their relatives to make required improvements.

There was an open and inclusive culture at the home where everyone worked as a team to deliver good quality care. The registered manager had a clear vision for the service which was shared by staff. The provider had a range of checks in place to monitor the quality of the care and to develop the service.