Archived: Bournedale House

Updated 25 July 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 inspection took place on 4 June 2018 and was unannounced.

The inspection team included inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service. 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.

As part of planning the inspection we checked if the provider had sent us any notifications. These contain details of events and incidents the provider is required to notify us about by law, including unexpected deaths and injuries occurring to people receiving care. We also looked at any information that had been sent to us by the commissioners of the service and Healthwatch. Healthwatch England is a national independent champion for consumers and users of health and social care in England. We also examined the information we hold in relation to the provider and the service. We used this information to plan what areas we were going to focus on during our inspection visit.

During the inspection we carried out observations of the care and support people received. We used the Short Observational Framework for Inspection (SOFI) to observe how care was provided for people who were unable to speak with us. We spoke with five people who lived at the home, two relatives, five staff, and the manager. We looked three records about people's care and support, medicine administration records, two staff files and the systems used to monitor the quality of care provided.

Updated 25 July 2018

The comprehensive inspection of this service took place on 4 June 2018. It was unannounced. This was the first time this service had been inspected since it became registered with CQC in September 2016. Previously to this, the home had been providing care for people for many years under a different registration. Bournedale House is a home without nursing and can accommodate up to 11 people. At the time of our inspection, 11 people were living at the home.

Bournedale House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

People were protected from potential abuse by staff as they were trained and understood how to safeguard them. People had risks to their safety assessed and there were plans in place to reduce the risks, which staff understood and followed. There were sufficient staff that had been recruited safely to support people when they needed it. People received support to have their medicines as prescribed.

People had their needs assessed and were supported to meet them by trained and knowledgeable staff. People had their nutrition and hydration needs met and had an enjoyable mealtime experiences with lots of choice. The building was being upgraded and improved in line with peoples wishes. People were supported to access health professionals to maintain their health and wellbeing. People were supported to have a good level of choice and control of their lives and staff supported them in the least restrictive way possible.

People had good relationships with staff and were supported in a kind, caring, and compassionate manner. People made choices about their care and support and were involved in decision making. People were supported in a way which maintained their dignity, and staff were respectful. People had their preferences met and staff understood people's needs. There were opportunities for people to follow their interests and take part in a range of activities. People's communication needs were considered and they had support to follow their religious beliefs and cultural practices.

People understood how to complain and complaints were responded to in line with the provider's policy. People had good care but limited opportunity to take part in discussions about their preferences for care and support at the end of their life.

A manager was in post and people, relatives and staff found they were easy to talk to and available to them. People and their relatives had an opportunity to have a say in how the home was run. The manager had informal but effective checks in place to assess the quality of the service people received. The manager had a vision for the service and plans in place to make continual improvements.