Sanctuary Home Care Ltd - Gravesend

Updated 18 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

Sanctuary Home Care Ltd – Gravesend provides care to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care service.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was announced. We gave the service 2 days’ notice of the inspection visit. This was because the registered manager managed another of the provider’s service and we needed to be sure that they would be available.

What we did:

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse or when a person dies. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. Positive feedback was received from a health care professional. We used all this information to plan our inspection.

During the inspection we looked at the following:

• Three people’s care records

• We spoke to four people and two relatives

• We spoke to the registered manager, team leader, two care staff and an administrator.

• Medicines records

• Records of accidents, incidents and complaints

• Audits and quality assurance reports.

• Two staff recruitment files

Updated 18 April 2019

About the service:

Sanctuary Home Care Ltd – Gravesend is a domiciliary care service providing personal care to people in their own homes. At the time of the inspection there were 20 using the service.

People’s experience of using this service:

• People's outcomes were consistently good and their feedback about the service confirmed this.

• People continued to receive personalised care by staff who knew them well. Everyone was treated with kindness and dignity and involved in decisions about their care.

• Support for people enabled them to be as independent as possible so they could remain in their own home. They had 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 cared for by a consistent team of staff who were skilled and competent in providing care and support. Staff and the registered manager were motivated and passionate about supporting people based on their likes, wishes and preferences.

• Trusting relationships had developed between staff and people so that people felt safe. Risks to people’s well-being and in the environment continued to be effectively managed.

• People’s health and well-being was monitored and liaison took place with a range of health and social care professionals to support this. People continued to receive the support they needed with their medicines.

• The service was well-led. People’s feedback about the quality of care was actively sought. Quality assurance processes meant that improvements to the service were continuously implemented.

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

Rating at last inspection: Good (last report published 21 September 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains Good.

Follow up: We will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.