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Archived: Sanctuary Home Care Ltd - Doddington

Overall: Good read more about inspection ratings

Benwick Road, Doddington, March, Cambridgeshire, PE15 0WD (01354) 742957

Provided and run by:
Sanctuary Home Care Limited

Important: This service is now registered at a different address - see new profile

All Inspections

11 January 2019

During a routine inspection

About the service: Sanctuary Home Care Ltd – Doddington. This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared building. The accommodation is 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 and support service.

People using the service lived in 22 ordinary flats

People’s experience of using this service:

¿ People continued to feel safe living at the service. Risks in relation to people’s health, safety and welfare had been identified and action taken where appropriate. Staffing levels were appropriate to meet the needs of the people using the service. Medicines were safely managed. There were systems in place to monitor incidents and accidents and learn from these.

¿ Staff were skilled and competent and knew the people they supported well. People’s care, health and cultural needs were identified so staff could meet these. People were supported to maintain good health. Staff made referrals to health professionals when required. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people consented to their care.

¿ People continued to receive care from staff who were kind and caring. People’s privacy and dignity was protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.

¿ People received person centred care that met their needs. Care plans gave details of how people would like their needs met. People said they knew how to make a complaint if needed.

¿ People and staff told us the service was well managed and had an open and friendly culture. Staff said the service had a family atmosphere and they felt well-supported. Managers and staff worked in partnership with other agencies to ensure people got the care and support they needed.

Rating at last inspection: Good (report published 23 April 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 all intelligence received about the service to ensure the next inspection is scheduled accordingly.

31 March 2016

During a routine inspection

Sanctuary Home Care Ltd- Doddington is a an extra care scheme that provides personal care services to older people living in their own homes in Doddington Court. They also supply staff to provide personal care for up to nine people in an intermediate care facility within Doddington Court The service also provides housekeeping services such as cleaning and shopping although this service is not regulated by the Care Quality Commission (CQC).

We inspected the service on 31 March 2016. The inspection was unannounced. At the time of our inspection 38 people including four people in the intermediate care facility were receiving a personal care service.

There was a registered manager in post at the time of our inspection. A registered manager (‘the manager’) is a person who has registered with CQC to manage the service. Like registered providers (‘the provider’), 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.

CQC is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and to report on what we find. Staff had received training in this area and demonstrated their understanding of how to support people who lacked the capacity to make some decisions for themselves.

People were at the heart of the service. Staff understood what was important to each person and worked closely with each other and other professionals to promote their well-being and happiness.

Systems were in place to meet people’s needs effectively and safely. Staff were aware of the procedures for reporting concerns and protecting people from harm. Staff were only employed after the provider had carried out satisfactory pre-employment checks. Staff were trained and were well supported by their managers. There were sufficient staff to meet people’s assessed needs.

The CQC monitors the operations of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) which applies to care services. We found people’s rights to make decisions about their care were respected. Where people were assessed as not having the mental capacity to make decisions, they had been supported in the decision making process. DoLS applications were in progress and had been submitted to the authorising body.

People’s health, care and nutritional needs were effectively met. People were provided with a varied, balanced diet and staff were aware of people’s dietary needs. Staff referred people appropriately to healthcare professionals. People received their prescribed medicines appropriately.

People received care and support from staff who were kind, caring and respectful. Staff respected people’s privacy and dignity. People, their relatives, staff and other professionals were encouraged to express their views on the service provided.

Care plans contained all of the relevant information that staff required to meet people’s needs and therefore people could be confident that they always received the care and support that they needed. Changes to people’s care was kept under review to ensure that the care and support provided was effective. The registered manager assessed any potential risks to people and staff and put preventive measures in place where required.

Staff supported people to take part in hobbies, interests and activities of their choice. There was a varied programme of activities available to people.

The registered manager was supported by senior staff and support workers. There was a good management structure in place and staff were clear on reporting procedures. People, relatives and staff told us the service was very well run and that staff in all positions, including the registered manager, were approachable. People’s views were listened to and acted on.

The provider went above and beyond the core homecare contract in a number of different ways. People were given lots of opportunities to meet each other socially and the recruitment of a daily activities co-ordinator had taken place. The hope is that they are able to offer more choice of activities and social events to take place based on people’s choices. Staff and volunteers encouraged people to retain an active presence in their local community and to maintain personal interests and hobbies.

The registered manager was known personally to everyone who used the service and provided staff with strong, values-led leadership. Staff worked together in a friendly and supportive way. They were proud to work for the service and felt listened to by the registered manager and provider.

The provider was committed to the continuous improvement of the service and maintained a range of auditing and monitoring systems to ensure the care provided reflected people’s needs and preferences. The provider sought people’s opinions on the quality of the service.

21 May 2014

During a routine inspection

We considered all the evidence we gathered under the outcomes we inspected. We used the information to answer the five questions we always ask:

' Is the service caring?

' Is the service responsive?

' Is the service safe?

' Is the service effective?

' Is the service well led?

Below is a summary of what we found. The summary is based on our discussions with 10 people who use the service, two visitors, four staff and the manager.

Is the service caring?

People were very positive about the care and support they received. We saw that staff and people had a good rapport and that we heard lots of banter and laughter throughout our inspection.

People's preferences, interests and diverse needs including their likes and dislikes, had been recorded and people's needs had been provided by staff in accordance with their wishes.

Is the service responsive?

We found that there was an effective complaints and compliments procedure in place. People we spoke with told us they had no complaints to make about the service and that they were extremely happy with the care and support they received.

They were effective arrangements in place to ensure people's consent was obtained prior to their care and support being provided.

There were effective ways for gaining people's views about the care and support they receive. Any improvements required were actioned appropriately.

Is the service safe?

We found there were enough staff available to meet people's needs.

We saw that appropriate guidance was provided to staff to protect people from the risk of the spread of infection.

Potential risks to people had been identified and recorded clearly in their care records. We saw that these risks had been reviewed on a regular basis to ensure that people were kept safe.

Regular gas, electrical and fire safety checks had been undertaken. This ensured the safety of people who lived within the schemetheir visitors and staff.

Is the service effective?

People we spoke with were very happy with the care they received. The care records provided detailed information to ensure people received care and support in a consistent way.

Staff were knowledgeable about the care and support people required and the care records were detailed to ensure that people received consistent care.

Is the service well led?

The service had a registered manager in post. Staff we spoke with told us they felt supported in their work.

The provider had effective systems in place to regularly assess and monitor the quality of the service people received.

We found the provider was compliant with the regulations in the areas we assessed. If you wish to see the evidence supporting our summary please read the full report.

2 January 2014

During a routine inspection

We spoke with nine people who used the service and found that people were satisfied with the care and support they received. One person told us: 'The girls are lovely. I have no concerns about anything."

Care and support plans were 'person centred' and reviewed regularly with those who used the service. This meant any changes in people's needs were recorded and staff were made aware so that people's needs were met.

Staff had the necessary training provided and received regular supervision to ensure they were competent to meet people's needs.