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Sanderling House Outstanding

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 15 June 2018

Sanderling House provides residential care for up to seven adults with an acquired brain injury. The service has particular experience in support for people whose brain injury is related to alcohol or substance misuse. The service is located in a detached house near the centre of Formby.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of good for the safe, effective and well led domains. There has however been a change of rating for the service to Outstanding based on our findings for the caring domain and responsive domain.

People told us that the staff provided very good care and support in respect of their health and wellbeing. We saw excellent evidence of the positive impact this had on people’s lives, with emphasis on the promotion of people’s rights and independence. Staff and people using the service had developed very caring, strong, meaningful relationships.

Supporting people to live in the community was very well managed with on-going staff support for all stages of the transition. Staff went out of their way to build up close working relationships that were based on trust, understanding and the promotion of people’s independence and self-worth to aid people’s personal development. Staff told us this was a key element of people’s recovery and integration back into independent living. We saw how this had been achieved with the service’s dedicated staff and their promotion of enriched innovative care, rehabilitation and social programmes.

The culture of the service ensured people felt they mattered in all aspects of their lives. People and relatives we spoke with were very complimentary regarding the supportive and very caring nature of the manager and staff.

Care was recorded in a very person centred way with excellent emphasis on how people wished and needed to be supported. Staff fully involved people and/or relatives with support plans and care reviews. People were encouraged to make decisions about how their support was provided and staff were very respectful and understanding of people’s rights and choices.

The service placed a strong emphasis on a ‘person centred approach’ to enrich people’s lives. This meant care and support was centred on people’s individual needs and wishes. People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. Relatives told us staff had an exceptional understanding of people’s beliefs, values and how they wished their family member to be supported. Feedback from relatives was excellent regarding all aspects of the service.

People's individual communication needs were understood and information provided in a format appropriate for them, which meant they could participate fully.

Staff supported people to access a wide range of community based healthcare services in accordance with individual need. External health professionals spoke highly about the service and the committed values of the highly trained staff team.

People had access to an excellent range of social activities which they enjoyed and people were encouraged to take part in new areas of interest.

People living at the home and relatives we spoke with told us the staff were very caring, polite and exceptionally supportive in achieving daily life goals, developing personal interests and overseeing their health needs.

People told us they enjoyed the menu options and took part in choosing recipes and food shopping.

Staff had been recruited safely so they could work with vulnerable people.

People were supported by a good consistent skilled staff who received appropriate training and support.

Medicines were managed safely and people were encouraged to be responsible for their own medicines according to assessed risk.

Staff were aware of safeguarding procedures and the concept of whistle blowing.

The service had a robust complaints procedure which was accessible

Inspection areas

Safe

Good

Updated 15 June 2018

The service was safe.

Systems and measures were in place and followed to monitor risks to the environment and people�s safety and reduce the risk of these occurring.

Sufficient numbers of staff were available to support people in accordance with their individual needs and wishes.

Robust systems were in place for the safe recruitment of staff to care for vulnerable people.

People�s medication was safely managed by staff who were trained and competent to administer them.

Effective

Good

Updated 15 June 2018

The service was effective

Staff received training and support to provide them with the skill and knowledge to understand and meet people�s needs.

People were supported to make decisions and choices for themselves. Where they were unable to do so the staff took steps to make decisions in the person�s best interests or obtain legal protections for them. People's consent was sought regarding key decisions for their care and support.

Support was provided to people to meet their nutritional needs and people were encouraged to have an active part in choosing menus which they enjoyed.

Staff promoted people's health and wellbeing and sought external advice and support when needed.

Caring

Outstanding

Updated 15 June 2018

The service was exceptionally caring and has improved to outstanding

Staff and people using the service had developed very caring, strong, meaningful relationships.

The service�s approach to promoting communication was particularly innovative with staff using technology and also a variety of tools to communicate effectively and thus remove potential barriers

People were encouraged to make decisions about how their support was provided in all aspects of their care and daily living. Staff were very respectful and understanding of people�s rights and choices.

People and relatives were extremely complimentary regarding the support they received from the staff.

Staff promoted people�s independence in a supportive and inclusive manner. The organisation fully supported people to choose support people to live in their own home. This transition was managed in a very caring, positive and supportive manner by a dedicated staff team.

Responsive

Outstanding

Updated 15 June 2018

The service was exceptionally responsive and has improved to outstanding

People�s care records contained extensive, person centred information which helped to support an excellent standard of individualised care and promote people's individual goals and self-esteem.

People had access to an excellent range of social activities which they enjoyed and people were encouraged to take part in new areas of interest.

People were very well supported by staff to develop and maintain important relationships with family and friends.

Well-led

Good

Updated 15 June 2018

The service was well led

The registered manager was experienced and enthusiastic about her role. Staff, people living at the home and relatives spoke positively regarding the registered manager's leadership and support of the service.

Systems and processes were in place to monitor the service and drive forward improvements. This included obtaining feedback from people via surveys and meetings.