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CQC report explained · a residential care home

What the CQC found at SASA Homes Limited

Goodpublished 7 February 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found robust safeguarding procedures, suitable risk assessments, enough staff and safe recruitment. Medicines, infection control, equipment and fire safety arrangements were also found to be suitable.
Effective?
Good
Staff had relevant training, induction and supervision. People’s needs were assessed, consent was considered under the Mental Capacity Act, and people were supported with nutrition and healthcare.
Caring?
Good
Staff were observed to be calm, polite and respectful. People’s privacy, dignity, independence, preferences and confidentiality were promoted, and relatives said staff were kind and caring.
Responsive?
Good
Care plans were personalised, up to date and regularly reviewed. People were supported with preferred activities, community involvement and family contact, although end-of-life planning needed more detail.
Well-led?
Good
Inspectors found approachable management, clear responsibilities, regular staff meetings and audits covering areas such as care plans, medicines, training and health and safety.
The latest report, explained

What inspectors found, February 2019

Rated Good; inspectors found safe, kind and personalised care, with end-of-life planning needing more detail.

This was the first inspection since the home registered in February 2018. It was an announced inspection on 10 January 2019. One inspector visited, observed care, checked records and spoke with the manager and team leader. The inspector also contacted relatives and a social worker afterwards.

The home was supporting one person at the time, although it is registered for up to three people with autism, learning disabilities, challenging behaviour and related mental health needs. Inspectors found suitable staffing, safe recruitment, safe medicines systems and staff who understood safeguarding and people’s risks.

Care plans were personalised and people were supported with choices, food, healthcare, activities, privacy and independence. Relatives and professionals gave positive feedback. The home had audits, staff meetings and an approachable management team. All five areas were rated Good: safe, effective, caring, responsive and well-led.

What inspectors praised
  • Safeguarding

    Staff knew how to recognise and report abuse, and safeguarding was discussed in meetings and supervision.

    “Safeguarding procedures were robust and staff understood how to safeguard the people they supported.” from the report
  • Consistent staffing

    There were enough staff and the home did not need agency staff. People were supported by familiar staff members.

    “People received care from the same member or members of staff and this helped with people receiving consistent care and support.” from the report
  • Personalised care

    Care plans included people’s communication, history, preferences, health needs and medicines. People and their representatives were involved in planning and reviews.

    “People received personalised care and support that met their individual needs and took full account of their background history and personal circumstances.” from the report
  • Respect and independence

    Staff promoted privacy, dignity and independence, and supported people to make everyday choices.

    “People were treated with respect and their independence, privacy and dignity were protected and promoted.” from the report
  • Activities and community life

    People were supported with activities and hobbies they enjoyed, both inside and outside the home, including links with the wider community.

    “There was a range of activities both inside and outside the service to stimulate people and this helped them from social isolation.” from the report
What inspectors were concerned about
  • End-of-life planning

    needs fixing

    Inspectors found that end-of-life information in people’s records could be more complete. The manager said they would revisit it and seek more information from relatives.

    “However, the information could be more comprehensive, and this was discussed with the registered manager.” from the report
Questions to ask them, based on this report
  1. 01How have you made end-of-life planning more comprehensive since this inspection?
  2. 02How would you support my relative if their capacity to make a particular decision changed?
  3. 03How do you make sure care plans and risk assessments are updated when needs change?
  4. 04What activities and community opportunities would be available for my relative based on their interests?
  5. 05How would relatives be involved in care reviews and decisions about support?

This was an announced first inspection covering all five CQC questions; one person was living at the home during the visit, and the person’s own views could not be obtained because of their needs. This explanation was written from the published report of 7 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 SASA Homes Limited

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2019Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at SASA Homes Limited →

  2. February 2018

    Registered with the Care Quality Commission on 14 February 2018.

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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