The Sanctuary Office improved from Requires Improvement to Good across all inspected key questions (Safe, Effective, Well-led), having successfully remediated prior breaches of Regulations 12, 17 and 19. The service demonstrated strong person-centred care, safe medicines management, robust recruitment and effective governance under a committed registered manager.
Strengths
· People supported by regular care staff who built trusting, supportive relationships; relatives described care as 'absolutely brilliant' and 'very person centred'.
· Safe recruitment procedures reinstated including DBS checks and professional references, resolving prior breach of Regulation 19.
· Medicines management improved with pharmacy collaboration, MAR monitoring, spot checks and competency assessments, resolving prior breach of Regulation 12.
· Effective risk assessment processes covering home environment and individual health conditions, with timely escalation to healthcare professionals.
· Strong infection prevention and control practice including PPE use, hand hygiene, IPC training and COVID-19 testing programme.
Quality-Statement breakdown (16)
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
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood