Archived: Sanctuary Supported Living (Bromley Care Services)

Sanctuary Supported Living (Bromley Care Services) provides personal care to people living in their own homes. It provides services for adults with learning and physical disabilities. At the time of our visit, the service was providing support for 21 people at three supported living locations.

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 Medicines were not always safely managed. Staff did not always record when topical cream was administered. People said they felt safe and that their needs were met. People were protected against the risk of infection. Assessments were carried out to ensure people's needs could be met. Risks were identified, and management plans were in place to manage these safely. Accidents and incidents were appropriately managed and learning from this was disseminated to staff.

Appropriate numbers of suitably skilled staff were available to meet people's needs. Staff understood people individual needs and were supported through induction, training and supervisions.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.

People were supported and encouraged to eat a healthy and well-balanced diet. People had access to different healthcare professionals when required to maintain good health.

People’s privacy, dignity was respected and their independence was promoted. Information was available to people in a range of formats to meet their communication needs if required. There was a system in place to respond to complaints in timely manner.

The service was not currently supporting people who were considered end of life, if they did this would be recorded in their care plans. There were effective systems in place to assess and monitor the quality of the service provided. The provider worked in partnership with key organisations to ensure people's needs were planned and met.

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.

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 of the service was good (published on 13 December 2016)

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

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Sanctuary Supported Living (Bromley Care Services) provides 24 hour care to people living in their own homes. It provides services for adults with learning and physical disabilities. At the time of our visit, the service was providing support for 17 people at two supported living locations.

There was a registered manager in post. 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.

Safeguarding adult's procedures were robust and staff understood how to safeguard people they

supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to.

Risks to people using the service were assessed and risk assessments and care plans provided clear information and guidance for staff. Medicines were stored, administered and recorded appropriately.

There were enough staff to meet people's needs. The provider conducted appropriate recruitment checks before staff started work. The provider had carried out appropriate pre-employment checks to ensure staff were suitable and fit to support people using the service.

Staff received adequate training and support to carry out their roles and staff training was up to date. Staff received supervision, appraisals and training appropriate to their needs and the needs of people who they supported to enable them to carry out their roles effectively. There were processes in place to ensure staff new to the service were inducted into the service appropriately.

The registered manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005(MCA). Staff asked people for their consent before they provided care. Staff asked people for their consent before they provided care.

People were protected from the risk of poor nutrition and had access to a range of healthcare professionals in order to maintain good health.

People were treated with kindness and compassion and people's privacy and dignity and confidentiality was respected. People were supported to be independent where possible such as attending to some aspects of their own personal care.

People were involved in their care planning and the care and support they received was personalised and staff respected their wishes and met their needs. Care plans and risk assessments provided clear information for staff on how to support people using the service with their needs. Care plans were reflective of people's individual care needs and preferences and were reviewed on a regular basis.

Staff were knowledgeable about people's individual needs. Staff were committed to offering people a good service that improved the quality of their lives and allowed them to be part of the wider community. The service met people’s preferences and were innovative in suggesting additional ideas that they themselves might not have otherwise considered. The service encouraged people to take an active role in the local community and actively supported networking. People who used the service were continuously encouraged and supported to engage with services and events outside of the service. There were a variety of activities on offer that met people's needs. People's cultural needs and religious beliefs were recorded to ensure that staff took account of people's needs and wishes.

People knew about the service's complaints procedure and said they believed their complaints would be investigated and action taken if necessary.

There were effective processes in place to monitor the quality and safety of the service and the registered manager recognised the importance of regularly monitoring the quality of the service provided. Regular staff meeting took place and people were provided with opportunities to provide feedback about the service . People and staff told us they thought the service was well run and that the registered manager was supportive.

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