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Inspection Summary

Overall summary & rating


Updated 16 August 2019

About the service

Sentinel Care Limited is a domiciliary care service providing support to 104 older people in their own homes, some of whom have being diagnosed with dementia care needs. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of inspection, 80 people were receiving a regulated service.

People’s experience of using this service and what we found

People received safe and effective care and support. Risks were assessed and managed to reduce the likelihood of avoidable harm and changes in circumstances were immediate addressed to ensure people remained safe. People received timely support from a consistent staff team. Systems used for the management of medicines were safe and people received their medicines as prescribed.

People’s needs were assessed and reviewed to ensure their care needs were met. Care plans were updated promptly so staff always had access to the most current information.

Staff received training relevant to their role and had good support from the provider, registered manager and colleagues.

Staff sought people’s consent before providing care and decisions about people’s care and treatment were made in line with law and guidance. People received enough to eat and drink to maintain their health. People were supported to access healthcare agencies when required. The provider worked in partnership with health and social care professionals to ensure consistency and ensure people received appropriate support.

People’s care was responsive to their changing needs. People, and their relatives, were involving in the assessment and planning of their care and communication was good to enable people to work together to ensure people’s needs were met fully. People knew how to raise a concern and always felt listened to.

People, relatives and staff felt the service was well managed. People, and staff, had regular opportunities to share their views about the service. The provider carried out audits to ensure the quality of care provided.

People were supported to make choices and retain control of their lives and staff supported them in the least restrictive way possible and in their best interests. Policies and systems in the service supported this practice.

Why we inspected: This was a scheduled inspection based on the previous rating.

Rating at last inspection The last rating for this service was good (published September 2016).

The service met the characteristics of ‘Good’ in all areas; more information is available in the full report below.

For more details, please see the full report which is on the CQC website at

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.

Inspection areas



Updated 16 August 2019

The service was safe.

Details are in our safe findings below.



Updated 16 August 2019

The service was effective.

Details are in our effective findings below



Updated 16 August 2019

The service was caring.

Details are in our caring findings below.



Updated 16 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 16 August 2019

The service was well-led.

Details are in our well-Led findings below.