We undertook an announced inspection of The Sanctuary Project on 15 and 22 February 2017. We told the registered provider two days before our visit that we would be coming.

The Sanctuary Project provides domiciliary care services to people in their own homes. At the time of our inspection two people were receiving support with personal care.

Support workers rotas confirmed and people told us there were enough support workers to meet people’s needs.

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 told us they were safe. Support workers understood their responsibilities to identify and report all concerns in relation to safeguarding people from abuse. All support workers had completed safeguarding training with the local authority.

The service sought people's views and opinions and acted upon them. People told us they were confident they would be listened to and action would be taken if they raised a concern. Where risks to people had been identified, risk assessments were in place and action had been taken to manage the risks. Support workers were aware of people's needs and followed guidance to keep them safe.

People received their medicines as prescribed. Records confirmed where people needed prompting with their medicines; they were supported by staff that had been appropriately trained.

Staff spoke positively about the support they received from the registered manager. Support workers had access to effective supervision and an annual appraisal.

People were supported by support workers who had the skills and training to carry out their roles and responsibilities. The service had robust recruitment procedures and conducted background checks to ensure support workers were suitable for their role.

The registered manager and support workers understood the Mental Capacity Act (MCA) 2005 and applied its principles in their work. The MCA protects the rights of people who may not be able to make particular decisions themselves.

People were supported to maintain good health. Various health professionals were involved in assessing, planning and evaluating people's care and treatment.

Support workers and the registered manager shared the visions and values of the service and these were embedded within service delivery. The service had systems to assess the quality of the care provided. Learning from audits took place which promoted people's safety and quality of life.