Archived: Bourne House

Updated 2 November 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection was carried out by one inspector on the 3 October 2018 and was unannounced.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with the one person using the service. Where people at the service were not able to verbally talk with us, or chose not to, we used observation as our main tool to gather evidence of people's experiences of the service. We also spoke with one relative who was available on the telephone to speak with us.

We also spoke with the registered manager, and two staff including a team leader.

We reviewed care records for three people who used the service, three staff files and records relating to the management of the service.

Updated 2 November 2018

This unannounced inspection took place on the 3 October 2018.

Bourne View provides care and support for up to four people with either a learning disability and or autistic spectrum disorders. At the time of our inspection there were four people living at the service. The service was provided from a domestic style four bedroom house over two floors. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

At the last inspection the service was rated Good. At this inspection we found the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was 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. The registered manager also had oversight of another six residential care homes and supported living services run by the provider.

Systems were in place to ensure people remained safe whilst promoting their independence. Risks to people had been adequately identified and measures put in place with guidance for staff to mitigate the risk of harm.

Staff had the knowledge, skills and training to meet people’s needs and keep them safe. Staff understood their responsibilities in relation to reporting accidents and incidents. Staff were provided with training in how to recognise abuse and report issues of concern appropriately.

People were involved in the planning of meals and menus. They received appropriate nutrition and hydration support to maintain their health and wellbeing.

The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLs). People were supported to have maximum choice and control of their lives in the least restrictive way possible.

People were treated with kindness and respect by staff who knew them very well. They were enabled to remain as independent as possible.

There was a system in place to receive and manage complaints with guidance written in a format which met people’s needs. People were supported and encouraged to express their views and opinions about how the service was provided and how they lived their daily lives.

People were provided with personalised care and support to engage in meaningful activities which met their needs for autonomy and independence. There were regular opportunities for social inclusion with access to the community and annual holidays.

Regular ongoing health checks were in place with access to specialists for advice and support to support people’s physical, emotional and mental health and wellbeing.

There were systems in place to monitor the quality and safety of the service. This included systems to ensure that people continued to receive care that met their needs and protected their rights. This included annual reviews of the person’s care needs with their involvement and their representatives.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.” Registering the Right Support CQC policy

Further information is in the detailed findings below