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Sanctuary Home Care Ltd - Exning Good

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating


Updated 19 April 2018

This inspection took place on 15 March 2018 and was announced. We gave the service 48 hours’ notice of the inspection as the service is community based and we needed to ensure the registered manager would be available

Sanctuary Homecare Ltd provides care and support to people living in an ‘extra care’ housing scheme. The scheme is referred to as Exning Court by people, relatives, staff and the provider. We have also referred to the scheme as Exning Court in our report. Extra care housing is purpose built or adapted single household accommodation in a shared site or building. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and service. Not everyone living at Exning Court received the regulated activity. On the day of our inspection 28 people were receiving a personal care service.

Exning Court consists of 34 self-contained flats. There are eight two bedroom apartments and 26 one bedroom apartments built around a central courtyard. The service is situated in a quiet rural area on the edge of the village of Exning near Newmarket. The service provides support to people to live in their accommodation, with their own tenancy agreements. The aim of the service is to provide people with support they need to live as independently as possible. The people who used the service received individual bespoke support hours depending on their assessed needs.

At the last inspection in July 2016, we found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We were concerned because there was poor recording of peoples changing needs in their care plans and the provider was failing to keep an accurate up to date contemporaneous record of the care given. We asked the provider to take steps to improve and complete an action plan to show what they would do and by when to improve the key question of responsive. At this inspection we found improvements had been made.

There was a registered manager in post at the time of the inspection. 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.’

There were sufficient staff to meet people's needs and spend time with them. People received their care when they wanted it and consistently, there were no missed care calls. Risk assessments were carried out and promoted positive risk taking which enabled people to live their lives as they chose. People received their medicines safely.

People were cared for by staff who received appropriate training and support from their line managers. Staff skills were regularly assessed through spot checks to ensure they knew how to support people in a safe, respectful and effective way.

The service worked within the principles of the Mental Capacity Assessment 2005 (MCA) and staff sought people's consent before entering their home and supporting them.

The staff were caring and kind and had developed good relationships with people using the service. They engaged with people and welcomed their relatives and friends when they visited. Where needed, people were offered support to eat and drink and to prepare meals and snacks.

People's needs and preferences were assessed prior to them moving into the service. There was an assessment process in place, which involved people and ensured that people received support that met and was based on their needs and personal preferences.

The service was well-led and people were satisfied with the care and support provided. Staff said they liked working at the service because they were able to provide a high standard of care. There was a quality assurance system in place to ensure the s

Inspection areas



Updated 19 April 2018

The service was safe.

There were sufficient numbers of care staff who had been recruited safely to meet people�s needs.

Risks to people�s safety were identified and assessments carried out and followed by staff to minimise risk of harm.

Systems were in place for the safe management of medicines.



Updated 19 April 2018

The service was effective.

Staff received training and support relevant to their roles which helped them meet people's needs effectively.

People were supported to maintain good health and had access to appropriate services.



Updated 19 April 2018

The service was caring.

People received care and support in the way they wished.

People were involved with planning and reviewing their care.

People were supported by staff that were caring and that treated them with respect.



Updated 19 April 2018

The service was responsive

People were supported to be involved in the planning of their care. They were provided with support and information to make decisions and choices about how their care was provided.

There was an established complaints procedure and feedback from people was acted upon to improve the service.



Updated 19 April 2018

The service was well led

The registered manager provided clear leadership and direction.

The management team were approachable and had a visible presence in the service.

Systems were in place to monitor, assess and improve the quality of the service.