Byng House

Updated 16 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

Byng House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Byng House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced on the first day and announced on the second day.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We carried out an inspection of the home to ensure it was safe and suitable to meet people's needs. We also observed the delivery of care and support at various times throughout the day. We spoke with 8 people (including people using an intermediate place), 6 relatives, the registered manager, the deputy manager, the activity co-ordinator, the chef, the head of housekeeping, a nurse, a student nurse, 3 members of care staff and 3 visiting professionals.

We looked at records in relation to people who used the service including 4 care plans, medication records and systems for monitoring the safety and quality of the service provided. We looked at staff training and quality assurance records.

Updated 16 August 2023

About the service

Byng House is a residential care home providing personal and nursing care to up to 37 people. The service provides support to adults including those living with dementia, a mental health condition(s) and those living with a physical disability and/or sensory impairment. At the time of our inspection the service was supporting 24 people.

The service has 23 intermediate care places (these are places supported by rehabilitation services from the local NHS provider.) The remainder are both respite and more permanent places.

People’s experience of using this service and what we found

We were assured checks to ensure the health and safety of the environment were carried out, however, we have made a recommendation about better recording these checks.

We were assured that the registered manager analysed accidents and incidents, however, we have made a recommendation about better recording any findings to evidence themes and trends.

We were assured that the registered manager had oversight of the service, however, we have made a recommendation about strengthening governance processes, to help further drive improvements to the quality and safety of the service.

The registered manager began to act on our recommendations during the inspection process.

Medicines were managed safely. People received their medicines as prescribed by staff who were competent to administer them.

Risks to people's health, safety and well-being were assessed. Staff had access to information about how to manage people's identified risks and support them in a safe way. People told us they felt safe when receiving care and support.

A stable team structure was in place, people received care from staff they knew and who were familiar with their needs and preferences. There were enough staff on duty to meet people’s needs in a timely manner.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Consent for care and support was being obtained in line with the principles of the Mental Capacity Act (MCA) 2005.

People's needs were assessed and planned for in line with best practice and staff were knowledgeable about people’s current needs and preferences. Care was tailored to meet people's individual needs.

We received consistently positive feedback from people and their relatives about the care and support provided by staff.

The registered manager was instrumental in instilling a culture which was underpinned by values of compassion, dignity and independence, values which were shared and practiced by staff.

The service worked in a collaborative way with external professionals to help achieve positive outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 15 March 2021, and this is the first inspection.

Why we inspected

We carried out this inspection to award the service with an overall rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.