We carried out an announced comprehensive inspection on 27 October 2016. At our last inspection on 21 August 2014, we found the provider was meeting the regulations we inspected.

Sanctuary Supported Living (Bromley Care Services) provides 24 hour care to people living in their own homes. It provides services for adults with learning and physical disabilities. At the time of our visit, the service was providing support for 17 people at two supported living locations.

There was a registered manager in post. 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.

Safeguarding adult's procedures were robust and staff understood how to safeguard people they

supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to.

Risks to people using the service were assessed and risk assessments and care plans provided clear information and guidance for staff. Medicines were stored, administered and recorded appropriately.

There were enough staff to meet people's needs. The provider conducted appropriate recruitment checks before staff started work. The provider had carried out appropriate pre-employment checks to ensure staff were suitable and fit to support people using the service.

Staff received adequate training and support to carry out their roles and staff training was up to date. Staff received supervision, appraisals and training appropriate to their needs and the needs of people who they supported to enable them to carry out their roles effectively. There were processes in place to ensure staff new to the service were inducted into the service appropriately.

The registered manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005(MCA). Staff asked people for their consent before they provided care. Staff asked people for their consent before they provided care.

People were protected from the risk of poor nutrition and had access to a range of healthcare professionals in order to maintain good health.

People were treated with kindness and compassion and people's privacy and dignity and confidentiality was respected. People were supported to be independent where possible such as attending to some aspects of their own personal care.

People were involved in their care planning and the care and support they received was personalised and staff respected their wishes and met their needs. Care plans and risk assessments provided clear information for staff on how to support people using the service with their needs. Care plans were reflective of people's individual care needs and preferences and were reviewed on a regular basis.

Staff were knowledgeable about people's individual needs. Staff were committed to offering people a good service that improved the quality of their lives and allowed them to be part of the wider community. The service met people’s preferences and were innovative in suggesting additional ideas that they themselves might not have otherwise considered. The service encouraged people to take an active role in the local community and actively supported networking. People who used the service were continuously encouraged and supported to engage with services and events outside of the service. There were a variety of activities on offer that met people's needs. People's cultural needs and religious beliefs were recorded to ensure that staff took account of people's needs and wishes.

People knew about the service's complaints procedure and said they believed their complaints would be investigated and action taken if necessary.

There were effective processes in place to monitor the quality and safety of the service and the registered manager recognised the im

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

This was an announced inspection to ensure the manager was available at the time of the inspection. We last inspected the service in November 2013 when we found the provider to be meeting the standards we inspected.

Sanctuary Supported Living (Bromley Care Services) provides 24 hour care to people living in their own homes. It’s services are for adults with learning and physical disabilities. At the time of our visit, the service was providing support for 17 people at two supported living locations.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

We spoke with five people using the service and they were all complimentary about the support they received. People told us staff understood their support needs and provided the appropriate support they required. One person commented, “We are like a family unit.” We found that people were supported to gain their independence. One person said they were in the process of moving out of the service to live independently and another person said they were working towards having their own flat to live independently.

We noted that staff knew people’s individual support needs and we observed positive interactions between people and staff. People told us that staff were kind to them, thoughtful, involved them in decision makings and treated them with dignity and respect and our observations confirmed staff carried out these actions.

Where required, people, their relatives and advocates were involved in making decisions about their support needs. We found that health and social care professionals were involved in people’s care and treatment to ensure that the care and support they received was safe and met their needs.

Staff had the skills, knowledge and experience to support people with learning disabilities and complex needs. They understood people’s communication needs and supported people with their lifestyle choices.

People’s support plans were specific to their needs and were written in formats that suited their understanding. The support plans also included guidance on how staff should support each individual in a safe and dignified way.

All the people we spoke with told us that they felt safe using the service and that if they had any concern they would report them to the service managers. We found that there were systems in place to protect people from potential harm or abuse. Minutes of tenants meetings we looked at showed that ‘keeping safe’ was discussed with people at these meetings to remind people of actions to take if they had any concerns. Staff knew of their responsibility to safeguard people using the service and had completed training to ensure they were confident of actions to take if they had any concerns of abuse.

People told us that they would complain to staff or to the service managers if they were not happy. However they told us that they had nothing to complain about because “staff do their job well.” The provider carried out regular audits to monitor the quality of the service. Where issues were identified, appropriate actions were taken to ensure that people were satisfied with the service provided.