# Sanctuary Supported Living (Bromley Care Services)

*Operated by Sanctuary Home Care Limited.*

Sanctuary Supported Living (Bromley Care Services) is a CQC-regulated home-care agency in Bromley.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Requires improvement |
| Responsive | Requires improvement |
| Well-led | Requires improvement |

Rating published: 07/10/2022

## Practical info

- Postcode: BR1 3HJ
- Registered manager: Cole, Theresa
- Local authority: Bromley
- Region: London
- City: Bromley
- Last CQC check: 07/Oct/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Communication needs were assessed and information was available in accessible formats
  - Published: 2022-10-26
- Finding
  - Evidence: Appropriate recruitment practices with pre-employment checks completed
  - Published: 2022-10-26
- Finding
  - Evidence: Lessons were learnt from safeguarding incidents and shared across services
  - Published: 2022-10-26
- Finding
  - Evidence: People were supported to access healthcare services and had hospital passports in place
  - Published: 2022-10-26
- Finding
  - Evidence: Staff knew people well and interacted with warmth, kindness and respect
  - Published: 2022-10-26
- Finding
  - Evidence: Staff understood safeguarding and how to recognise and report signs of abuse
  - Published: 2022-10-26
- Finding
  - Evidence: Medicines were safely administered, managed, stored and audited regularly
  - Published: 2022-10-26
- **communication_with_families** _(minor)_
  - Evidence: relatives said they could not recall being asked formally for their views about how the service was run.
  - Published: 2022-10-26
- **complaints_handling** _(minor)_
  - Evidence: one relative said they had complained about poor communication and felt that things had not really improved subsequently.
  - Published: 2022-10-26
- **staffing_levels** _(minor)_
  - Evidence: Two relatives told us they did not think there were always enough staff. One relative said, 'I have found them short staffed.'
  - Published: 2022-10-26
- **leadership** _(moderate)_
  - Evidence: the provider's ethos was not evidently based around the 'Right support right care right culture' principles or current best practice
  - Published: 2022-10-26
- **record_keeping** _(moderate)_
  - Evidence: Accurate records of care were not in place as care plan records, key worker records and records of support did not reflect how people's needs...were met.
  - Published: 2022-10-26
- **infection_control** _(moderate)_
  - Evidence: the stair bannister at one site posed an infection risk due to peeling paint and woodwork and kitchen flooring at one site also required replacement
  - Published: 2022-10-26
- **staff_competency** _(moderate)_
  - Evidence: staff we spoke with were not all confident in its use following the training
  - Published: 2022-10-26
- **staff_training** _(moderate)_
  - Evidence: we found some gaps in refresher training and training for new staff in relation to specific areas such as the administration of some emergency medicines
  - Published: 2022-10-26
- **governance** _(critical)_
  - Evidence: The system for monitoring the quality of the service had not identified the issues and breaches of regulations we found at this inspection.
  - Published: 2022-10-26
- **cultural_competency** _(critical)_
  - Evidence: There was no exploration of people's needs in relation to their protected characteristics such as their culture, sexuality or sexual orientation
  - Published: 2022-10-26
- **care_planning** _(critical)_
  - Evidence: People had individual support plans but these did not always address all their needs...People had no recorded assessed goals or ambitions to work towards.
  - Published: 2022-10-26
- **person_centred_care** _(critical)_
  - Evidence: people's support needs were often planned on a group basis. For example, in relation to meal planning and activities these were mostly group based.
  - Published: 2022-10-26
- **consent_capacity** _(critical)_
  - Evidence: The principles of MCA were not consistently followed. Assessments of people's capacity to make specific decisions...had not always been completed
  - Published: 2022-10-26

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-7020387845

HomeCare Compass is an independent guide and is not affiliated with the CQC.