Archived: Sanctuary Home Care Ltd - Derby

Updated 22 December 2015

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 the 12 and 13 November 2015 and was announced.

The provider was given 48 hours’ notice because the location provides a domiciliary care service.

The inspection was carried out by one inspector.

We reviewed the information that the provider had sent to us which included notifications of significant events that affect the health and safety of people that use the service.

Before the inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We contacted commissioners for social care, responsible for funding people that use the service, and asked them for their views.

We spoke with eight people who used the service. We spoke with the registered manager and eight care staff. We looked at the records of seven people, which included their plans of care, risk assessments and records about the care they received. We also looked at the recruitment files for six staff, a range of policies and procedures, quality assurance audits and minutes of staff meetings.

Updated 22 December 2015

This inspection took place on the 12 and 13 November 2015 and was unannounced.

Sanctuary Home Care Ltd (Derby) provides care and support to people who reside within three locations in the Derby area which are all extra care-housing accommodation. The provider employs staff for each of the three locations who support people with their personal care and household tasks such as laundry, cooking and shopping outside of our regulatory framework. The main office is based within Greenwich Gardens, one of the extra care-housing accommodations.

We last inspected this service in June 2014 and found some breaches of legal requirements. These were in respect of the care and welfare of people who use services. During this inspection we found that improvements had been made to meet these requirements. This included improvements made to the detail and reviewing of care plans in order for staff to meet people’s needs.

The service has a registered manager. 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.

People using the service told us they felt safe when staff were supporting them with personal care. Staff told us they were confident that if they had any concerns about people’s safety, health or welfare then they would know what action to take, which would include reporting their concerns to the registered manager or to relevant external agencies.

Potential risks to people were assessed and used to develop plans of care.

Staff had undergone a robust recruitment process and had received training to enable them to meet people’s needs in a safe and timely manner. People’s needs were met, which included support to prepare and cook meals for themselves when required. Staff liaised with health care services and external agencies where appropriate.

People’s choices and decisions were recorded within their care records. Staff gained consent from people using the service before delivering care. Staff promoted the rights and decisions of people and were aware of the principles of the Mental Capacity Act 2005. People’s needs had been assessed prior to them receiving a service and they told us they had been involved in the development and reviewing of their plans of care.

People we spoke with were happy with the care and support they received. We received positive comments about staff from people using the service. They told us that staff were kind and caring and that their privacy and dignity was respected.

We saw appropriate information given to people using the service to ensure they knew how to raise concerns, or make a complaint. People told us they were aware of how to raise concerns. The provider had not received any complaints within the last twelve months.

There were systems in place to check the quality of the service provided. The registered manager sought regular feedback from people using the service in order to develop and improve the service. Staff told us that they were supervised and that regular staff meetings were held. They told us that communication was effective and that they felt supported by the provider.