Sanctuary Oasis Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service since it was registered on 16 May 2024. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were assessed before the delivery of care commenced and was reviewed whenever circumstances changed. People told us they were involved in planning their care needs, ensuring that that were important including family members, was accurately documented. One person said, “The manager spoke to me to start off with, and we talked about the kind of care I would need; several different supervisors have visited since to check that everything is okay; they seem to visit every few months.”

People said they received care that met their needs. Care plans were developed using information gathered during the assessment as well as details about their health history. They included individual preferences and guidance for staff on how to support them if they became anxious or distressed. Staff demonstrated a good understanding of people's needs, which matched the information in their care plans. This demonstrated people received consistent care that met their assessed needs.

Most relatives could access care records digitally. However, some people and relatives were unaware that a copy of the care plan was also kept in the person’s home. The provider agreed to remind staff to make people aware of the information available in the home care folder.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff completed a range of training including nationally recognised training in learning disability and autism, to deliver safe, inclusive, and person-centred care. Where staff carried out delegated healthcare tasks or clinical interventions, they had completed the relevant training and been assessed as competent. Staff felt the training gave them the skills and confidence to carry out their roles. Regular meetings gave staff the opportunity to discuss their work and share good practice.

People and relatives confirmed staff followed advice from relevant professionals involved in their care. One person said, “The district nurse wants me to have cream on my legs, which the carers always do for me, as they always remember” and this was evident in the individual’s care plan.

People and their relatives spoke positively about the care and support provided. Care plans were personalised, based on current best practice, and supported by recognised risk assessment tools such as MUST and Waterlow. Records were maintained in both paper and digital and were regularly reviewed as the service transitioned to a digital care system.

People were support with their nutritional needs, where this was part of their agreed care plan. One person told us, “The staff know that I have porridge with jam in every morning, and that I need a [fortified] shake making up every day, which they do.” Relatives had no concerns about the support provided with food and drinks. Staff recorded food and fluid intake, and care records showed that people’s preferences and choices were respected.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Leaders and staff told us they accessed the digital care system to review previous care notes to support continuity of care. Staff told us they worked well together and with health and social care professionals. Established communication methods, such as group messaging, enabled important updates about people’s care to be shared in a timely way, helping to promote continuity of care and maintain people's safety.

People and staff told us they worked with various professionals such as social workers, speech and language therapists, GP and district nurses. Care records contained evidence of partnership working, with external professionals, to ensure people received timely and coordinated care. Feedback from professionals was positive and reflected effective collaborative working with the provider

We observed leaders coordinating staff to ensure people received timely support following discharge from hospital, including arranging additional care visits to help them settle safely back at home.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Leaders and staff promoted people’s health and wellbeing. People were encouraged to make healthy lifestyle choices as part of their daily support. One person said, “I go to the shops with my carer to buy microwave meals.” A relative told us staff encouraged their family member to stay active and maintain their mobility. This demonstrated staff promoted people’s independence and wellbeing.

Staff told us they acted promptly when people were unwell or showed changes in their health, such as a temperature, loss of appetite, or sore skin; by informing the family member they lived with, supporting GP contact where needed, and notifying the office to ensure appropriate follow-up care. Records showed staff made referrals to healthcare professionals and in one case, records showed a person was reviewed by their GP and prescribed a different topical cream.

Staff respected people's choices and worked closely with them and their relatives to ensure care was well coordinated. They followed professional guidance to help people manage their health conditions and maintain their wellbeing. Care plans included clear information on specific healthcare needs, such as PEG (feeding tube inserted directly into the stomach) care and catheter care, to support staff in providing consistent and appropriate care.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People and their relatives had confidence in staff to monitor and respond to health concerns. One relative told us staff promptly informed them when they noticed a change in the person's skin condition, enabling them to contact the GP and seek medical advice. Staff also reported the concern to management, which ensured the care plan was updated and the relevant staff were made aware of the changes. This demonstrated the provider responded appropriately to people's changing needs and circumstances.

Care plans were personalised and reflected people’s individual needs, risks, health conditions, and monitoring requirements. They were regularly reviewed and updated as needs changed, with evidence that people were involved in the review process.

Staff demonstrated a good understanding of people’s needs and ensured care plans were updated when changes occurred. Effective monitoring systems, including food and fluid charts where required, supported the delivery of care. Leaders reviewed daily care records to identify changes in need and ensure care was delivered as planned. Records showed appropriate action was taken when new health concerns or risks were identified.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People and relatives told us staff always asked for consent before they were supported. They told us they were involved in decisions made about their care which staff respected. One person told us, “The carers will always ask me what I would like to eat; they give me a choice at all of my mealtime.”

Staff had completed training in mental capacity and demonstrated an awareness of consent. They shared examples of how they gained consent from people when delivering care and how they responded if someone refused care.

Staff demonstrated a clear understanding of their responsibilities and told us they always sought the person’s consent before providing care. One staff member said, “The clients I visit can make their own decisions, but I will always ask them how I can help you with [personal care] today, as some can do more for themselves than others.”

Staff emphasised encouraging participation wherever possible and consistently respecting people’s preferences and choices. One relative told us their family member often refused support, but staff were patient and consistently encouraged and reassured them to accept help. They explained that they had built a good rapport, which helped them provide effective support.