Sanctuary Home Care Ltd – Scarborough is based in Eastfield, Scarborough. People who received care and support live in apartments located on the site. Sanctuary Home Care Limited are also the housing association that is responsible for the accommodation.

This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service. At the time of this inspection, the service was providing support to 25 people who were in receipt of a regulated activity at the extra care location.

The inspection took place on 16 January 2018 and was announced. We gave the provider 48 hours' notice because the location provides domiciliary care services and we needed to be sure that someone would be in the office. Visits to people who used the service also took place on 16 January 2018.

At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.

There was a manager in post who had registered with CQC who supported the running of the service.

Staff demonstrated a good understanding of safeguarding people who may be vulnerable. They were aware of what to look for and knew how to report incidents. They knew the people they supported well. People we spoke with told us they felt safe, respected and well cared for.

People's medicines were managed safely and staff competency to administer medication was checked regularly by the registered manager.

Risks to people's health and safety had been identified and risk assessments were in place to guide staff.

Safe recruitment procedures had been followed. There was enough staff on duty to support people safely.

Staff had access to personal protective equipment and staff promoted good infection control practices.

A thorough induction was in place for new staff when they joined the service. Training records for all staff were up to date and the registered manager had a good overview of the team’s training needs. Staff were supported by management though a regular system of supervisions to monitor their performance.

Where needed, people were supported to maintain a balanced diet.

Staff worked within the principles of the Mental Capacity Act when providing support to people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People spoke positively about the caring nature of staff and the support they received. People were treated with dignity and their choices were respected by staff.

Care records were detailed and contained relevant information to enable staff to provide personalised care and support. People were aware of their care plans and signed documentation evidenced that consent was sought.

A comprehensive complaint procedure was in place which had been followed.

People, staff and relatives spoke positively about the management team.

Satisfaction surveys had been distributed to gain the views of people who used the service. Action had been taken where required.

Quality assurance processes were in place and conducted on a regular basis to enable the service to continuously improve.

Further information is in the detailed findings below.

This inspection took place on the 12 January 2016 and was unannounced.

Sanctuary Home Care Limited Scarborough provides care and support to people who live in extra- care-housing accommodation within Jazz Court. Only a percentage of the people who lived at Jazz Court received a service from Sanctuary Home Care Scarborough, though all have had an assessment by the local authority who retained full nomination rights over admissions. The location was purpose built, with communal areas such as a lounge, library, commercial laundry and a restaurant which is also open to the public. The building was attractive and bright and was set within well landscaped grounds. This was the first inspection of this service.

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 using the service told us they felt safe while 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 to protect them from harm while maximising their freedom.

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

People's choices and decisions were recorded in their care records. Staff gained consent from people 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 care plans.

People were very happy with the care and support they received. People made positive comments about staff and told us they were kind and helpful. We saw appropriate information was given to people using the service to ensure they knew how to raise concerns, or make a complaint. People also told us they were aware of how to raise concerns. The provider had not received any complaints within the last twelve months.

The service responded to people’s individual needs and preferences and care plans reflected the knowledge staff had of each person so that they could be placed in the centre of care.

Systems were in place to check the quality of the service provided. The registered manager sought regular feedback from people in order to develop and improve the service. Regular staff meetings were held where they were encouraged to voice their views. They told us that communication was  effective and that they felt supported by the registered manager.