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Inspection carried out on 17 January 2018

During a routine inspection

The inspection took place on 17 January 2018. The inspection was announced. We gave the service 24 hours notice of the inspection visit because the location provides a domiciliary care service for younger adults who are often out during the day. We needed to be sure that they would be in.

Sanctuary Home Care limited provide care and support to one person living in Romanby Court that is a supported living scheme that contains several flats for people who live independently with minimal support. A ‘supported living’ setting is where people can live as independently as possible. The care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at one person’s personal care and support who was using the service.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We visited one person in their own home and the atmosphere was very homely, warm and welcoming. The person who used the service was relaxed in their own home and had a very good rapport with their support staff.

The person was supported to maintain their independence on a daily basis with daily living skills and with personal care where appropriate. They had choice and control over their own life from being supported by person centred care approaches. Person centred care is when the person is central to their support and their preferences are respected.

The person was supported to forward plan and also supported to achieve personal goals. They used a tool called an ‘outcome star’ chart that was used to measure progress made towards reaching their goals.

The person was always respected by staff and treated with kindness. We saw staff being respectful, considerate and communicating exceptionally well with the person.

The person’s support plans were in an easy read format and were person centred. They included a ‘one page profile’ that referenced the person’s history, preferences and described their individual support needs. These were regularly reviewed.

The person was supported to play an active role within their local community by making regular use of local resources including the local shops, pubs and cinemas.

The service provided a communal activity room for the person to access and this was a popular resource.

The service supported the person to access multicultural activities provided in the communal resource that were educational and valued.

We saw that the person was supported to take part in interesting and meaningful activities of their choice. They took part in leisure and social events and staff were constantly looking for more opportunities for the person’s to enjoy.

Support plans contained person centred risk assessments. These identified risks and described the measures to be taken to ensure the person would be protected from the risk of harm. This supported the person to do the things they wanted to live their life fully.

The person was supported to maintain good health and had access to healthcare professionals and services. The person was supported and encouraged to have regular health checks and were always accompanied by staff to hospital appointments and emergencies.

Staff understood safeguarding issues and procedures were in place to minimise the risk of abuse occurring. Where concerns had been raised we saw they had been referred to the relevant safeguarding department for investigation. Robust recruitment processes were in place.

Staff were all trained in equality and diversity and knew how to protect the person from discrimination and also how to exercise their rights. The person had access to advocacy services i