Background to this inspection
Updated
6 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 took place on 3 October 2018 and was announced. The registered manager was given one working days’ notice because we needed to be sure that someone would be available at the home.
We asked the provider to send us a Provider Information Return (PIR) prior to this inspection; however, this was not due for return at the time of the inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. The registered manager completed and returned their PIR following the inspection.
The inspection was also informed by other information we had received from and about the service. This included statutory notifications. A notification is information about important events which the provider is required to send us by law.
During the inspection, we spoke with three people who used the service and one relative. We also spoke with the registered manager, deputy manager and five care staff.
We looked at two people’s care records to check that the care they received matched the information in their records. We reviewed two staff files to see how staff were recruited. We looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement.
We asked the registered manager to email a copy of their improvement plan so that we could see how the provider monitored the service to drive improvements. The registered manager sent this to us within the required timeframe.
Updated
6 November 2018
Brierley Bungalow 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.
This is the first inspection since the provider registered this location on 13 November 2017.
Brierley Bungalow is registered to accommodate six people with a learning disability and associated conditions in one adapted building and provides personal care. There were six people using the service at the time of our inspection. Each person had their own bedroom with a communal lounge and kitchen that they could access.
Brierley Bungalow met 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.
The service had a registered manager in post. 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’s needs were met as sufficient numbers of trained staff were available to meet their individual needs. People were supported by staff who understood their role in protecting them from the risk of harm. People’s safety was considered as environmental risks were assessed and managed and people were supported to take reasonable risks to enable them to spend time doing things they enjoyed. People were supported in a safe way to take their prescribed medicine. The staff’s suitability to work with people was established before they commenced employment. Staff supported people to keep their home clean and systems were in place to guide staff on the prevention and control of infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People and their representatives were involved in their care to enable them to make decisions about how they wanted to receive support in their preferred way. People received a balanced diet that met their preferences and assessed needs. People accessed healthcare services received coordinated support to ensure their preferences and needs were met.
Staff knew people well and understood their needs and preferences. People were treated with consideration and respect and were supported to maintain their dignity. People were supported to maintain relationships with those who were important to them.
People were supported to maintain their interests and be part of their local community. The manager and staff team included people and their representatives in the planning of their care. There were processes in place for people and their representatives to raise any concerns about the service provided.
People and their representatives were consulted and involved in the ongoing development of the service. Staff were clear on their roles and responsibilities and felt supported by the management team. The provider understood their legal responsibilities with us and systems were in place to monitor the quality of the service to enable the registered manager and provider to drive improvement.