Archived: Sanctuary Home Care Ltd - Enfield

Updated 27 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 April 2017. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to ensure that the registered manager would be present. The inspection was carried out by one inspector.

Before the inspection we reviewed relevant information that we had about the provider which included the provider information return pack that the home sent to us to tell us how they managed the service under the five key lines of enquiries.

During the inspection we spoke to three people who used the service and four relatives. We also spoke with four support staff, one team leader and the registered manager.

We spent some time looking at documents and records that related to people’s care and the management of the home. We looked at four people’s care plans and risk assessments.

We reviewed four staff files. We looked at other documents held at the home such as medicines and quality assurance records.

We received feedback from the local placing authority prior to the inspection.

Updated 27 May 2017

This inspection took place on 21 April 2017. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to ensure that the registered manager would be present to provide the information and documents necessary for the inspection.

This was the first inspection since the service registered with CQC in October 2015.

Sanctuary Home Care Ltd – Enfield is registered to provide personal care and support to people living in their own apartments in an extra care housing scheme based in Palmers Green, Enfield. At the time of the inspection, Sanctuary Home Care Ltd – Enfield was providing personal care to 14 people living in the scheme.

The service had 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 and relatives told us they felt safe. Procedures and policies relating to safeguarding people from harm were in place and accessible to staff. All staff had completed training in safeguarding adults and demonstrated an understanding of types of abuse to look out for and how to raise safeguarding concerns.

Detailed current risk assessments were in place for people using the service. Risk assessments in place were reviewed and updated regularly. Risk assessments explained the signs to look for when assessing the situation and the least restrictive ways of mitigating the risk based on the individual needs of the person whilst supporting their independence.

Medicines were managed safely and effectively and there were regular medication audits in place. We found one medicines error during the inspection which was reported to the registered manager who took action to remedy the error. Staff had completed medication training and the service had a clear medication policy in place which was accessible to staff. Risk assessments specific to medicines were in place for people who were supported to take medicines.

We saw friendly, caring and supportive interactions between staff and people and staff knew the needs and preferences of the people using the service.

Care plans were person centred and reflected what was important to the person. Care needs were regularly reviewed and updated to meet the changing needs of people who used the service.

We saw evidence of a comprehensive staff induction and on-going training programme. Staff were also safely recruited with necessary pre-employment checks carried out. Staff had regular supervisions and annual appraisals.

All staff had received training on the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) and staff understood the importance of always gaining consent from people.

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

People were encouraged and supported to access the community.

The provider had an effective and comprehensive quality monitoring system to ensure standards of service were maintained and improved.