Cardigan House (Sanctuary Home Care Limited) received an overall Good rating at its first inspection, with Safe, Caring, Responsive and Well-led all rated Good. Effective was rated Requires Improvement due to the institutional design of the building not fully reflecting Right Support, Right Care, Right Culture principles and inconsistent application of the Mental Capacity Act for one person.
Concerns (3)
moderate
Person-centred care
: “Some aspects of the design and delivery of the service did not always promote inclusion, equality and the principles of ordinary living that most people expect within their community.”
moderateGovernance: “The registered manager and provider had not always ensured that the service operated in line with the principles of 'Right support, right care, right culture'.”
minorConsent / capacity: “The application of the MCA had not been consistent for one person in always gathering their views about some of the care and support provided.”
Strengths
· People were safeguarded effectively; staff were knowledgeable about abuse types and the registered manager made appropriate safeguarding referrals.
· Medicines were managed and administered safely with regular competency checks and medication profiles for each person.
· Staff demonstrated a caring, respectful approach and people had positive relationships with staff members.
· People were supported to maintain community relationships, family contact and social activities.
· Robust recruitment processes including DBS checks, references and work history verification were in place.
Quality-Statement breakdown (24)
effective: Adapting service design and decoration to meet people's needsRequires improvement
effective: Ensuring consent to care and treatment in line with law and guidance (MCA)Requires improvement
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives and access healthcare servicesGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice, control and preferences metGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to maintain relationships and avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles and understanding quality, performance, risks and regulatory requirementsGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Duty of candourGood
well-led: Engaging and involving people, public and staff; working in partnershipGood
well-led: Continuous learning and improving careGood