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What the CQC found at Sanctuary Supported Living - 26 Tilmore Gardens

Outstandingpublished 22 February 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm. Risk plans covered issues including epilepsy, choking, falls and behaviours that may challenge others, and inspectors found enough staff to meet people's needs.
Effective?
Good
Staff had training linked to people's individual needs, including dementia and visual impairment. People received prompt healthcare support and had good outcomes.
Caring?
Outstanding
Staff provided exceptionally kind and compassionate care. People were treated with dignity, involved in decisions and supported to maintain their independence.
Responsive?
Outstanding
Care was tailored to people's needs, wishes and changing circumstances. People were supported to pursue interests, take part in community life and achieve goals that had previously seemed unlikely.
Well-led?
Outstanding
Inspectors found strong leadership, an open culture and effective checks on quality and safety. The service used feedback, complaints and incidents to identify and make improvements.
The latest report, explained

What inspectors found, February 2019

Sanctuary Supported Living - 26 Tilmore Gardens is rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

Inspectors visited on 7, 9 and 12 November 2018. The inspection was unannounced and involved one inspector. They spoke with people, relatives, staff and a healthcare professional, and reviewed care records, medicines, training, recruitment, complaints, incidents and quality checks.

The home supported 10 people with a learning disability in the care home and four people with personal care in supported living. Inspectors found people were treated with kindness and respect, involved in decisions, supported to be independent and helped to achieve personal goals.

Safe and effective care were rated Good. Caring, responsive and well-led were rated Outstanding. The overall rating improved from Good at the previous inspection, published on 11 January 2016.

What inspectors praised
  • Kind and respectful care

    People were consistently treated with warmth, compassion and respect. Inspectors observed positive relationships between people and staff.

    “Throughout our inspection we observed people were engaged with staff who demonstrated a consistently positive attitude.” from the report
  • Choice and independence

    People were involved in decisions about their care and supported to do more for themselves. Staff used pictures, easy-read information and other communication tools to help people express their views.

    “People were consistently, meaningfully and continuously involved in decisions about their care” from the report
  • Personalised support

    Care plans reflected people's strengths, needs, preferences and aspirations. Staff adapted support when people's health or circumstances changed.

    “People's care plans included their identified strengths, needs and opportunities” from the report
  • Strong community links

    People were supported to use local activities and services, follow personal interests and develop confidence in the community.

    “The service was an important part of its community and had developed links with within the community” from the report
  • Effective improvement systems

    Leaders checked quality, followed up actions and used complaints and incidents to improve care. Staff said they were supported and listened to.

    “The system in place to monitor the quality and safety of the service continued to be effective.” from the report
What inspectors were concerned about
  • Legal authorisations pending

    minor

    Applications under the Deprivation of Liberty Safeguards were awaiting authorisation from the local authority at the time of the inspection. Ask what the current position is and how any restrictions are reviewed.

    “DoLS applications were awaiting authorisation by the local authority.” from the report
  • Service size and guidance

    minor

    The care home was registered for up to 10 people, while the guidance referred to by inspectors recommends small services, usually supporting six people or fewer. Inspectors said the home's design and approach reflected the guidance's principles.

    “The service at Tilmore Gardens was registered to support up to ten people living with a learning disability, which is not in line with the principles of Registering the Right Support.” from the report
Questions to ask them, based on this report
  1. 01What is the current position on the Deprivation of Liberty Safeguards applications mentioned in the report?
  2. 02How many staff are usually on duty, and how do you maintain familiar staff when there are vacancies or sickness?
  3. 03How would you support my relative if their health needs changed, including dementia, visual impairment, epilepsy or choking risks?
  4. 04How would my relative be involved in care planning and decisions if they communicate in a non-verbal or different way?
  5. 05What activities, community links and independence goals could be tailored to my relative's interests?

This was an unannounced planned inspection of all five key questions; it covered the care home premises and care, and personal care and support in the supported living household, but not the supported living premises. This explanation was written from the published report of 22 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Sanctuary Supported Living - 26 Tilmore Gardens

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. February 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Sanctuary Supported Living - 26 Tilmore Gardens →

  2. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. December 2014

    Registered with the Care Quality Commission on 22 December 2014.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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