Archived: Turning Point - The Sanctuary

Updated 20 June 2018

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

This inspection took place on 21 March 2018 and was unannounced. The inspection was carried out by one inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

As part of our planning for this inspection we used information the provider sent us in the Provider Information Return. This is 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. We also considered statutory notifications such as notifications of serious incidents and safeguarding alerts received by the provider which the provider is required to send to the commission and previous inspection reports.

We looked at four people's care records which included risk assessments and other associated records, four staff files, records relating to the management of the service and policies and procedures.

We spoke to five people who currently use or recently have used the service, two care staff and the registered manager. We spoke with four healthcare professionals for their feedback about the service which included a consultant psychiatrist, the mental health crisis team, a lead practitioner and a service manager from a mental health Trust. Professionals told us that they were happy for us to use their comments in our report. We also made observations of the environment and staff interacting with people by spending time in communal areas. The service was last inspected in September 2015.

Updated 20 June 2018

Turning Point – The Sanctuary is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Sanctuary is a supported residential unit that provides short term care and support for seven people who have mental health issues. Referrals to The Sanctuary are made through the Crisis Resolution Home Treatment Team (CRHT) for short term support from three days to two weeks to provide people with the opportunity to recover from a mental health episode with as much or little support as they need. People are able to maintain their usual daily living activities such as work or education if they choose to. The provider is an organisation called Turning Point. On the day of our visit there were six people living at the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People told us that they felt safe. Staff had a good understanding of their roles and responsibilities for identifying and reporting allegations of abuse and knew how to access policies and procedures regarding protecting people from abuse. Risks to people were assessed and monitored during their stay and communicated with other healthcare professionals involved in their care. Learning as a result of incidents was shared and used to inform changes to the service such as reviewing policies. Staffing levels were assessed and amended based on the needs of the people using the service and there were arrangements in place for covering if staff were unable to come to work at short notice. The building was well maintained and there were systems in place for ensuring that regular checks of the environment and equipment were carried out. Medicines were managed safely and people were supported to take their medicines.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People told us that they were able to make choices about their support and were able to maintain their independence and provided with information and guidance to access other services which were relevant to them for ongoing support.

Staff were trained in subjects relevant to the needs of the people who used the service and received regular supervision which enabled them to develop in their roles. Staff said they felt supported.

Staff spoke to people respectfully and treated them with dignity and respect. People told us that staff were available to listen 24 hours a day. People felt that their privacy was respected and staff kept information confidential. People were involved in planning their support. People’s friends and families were welcomed to visit them at the service.

People’s individuality was respected and people’s preferences were taken into account when planning their care such as religion and sexuality. There was an accessible complaints process in place which people knew how to use if they needed to however people told us that they hadn’t needed to make a complaint.

People said that the registered manager was approachable and listened to them. Staff said that the registered manager was open and they were able to raise any concerns and put forward suggestions for improvement. The vision and values of the organisation were visible within the service and staff were proud to work at the service. The provider worked with other healthcare providers to ensure that people received care that met their needs.