Options Bredon House

Updated 12 February 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Bredon 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.

At the time of the inspection there was no registered manager in post, the provider was following their recruitment process. A registered manager is a person who has registered with the Care Quality Commission to manage the service. A registered manager means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service about their experience of the care provided. We also spoke with four members of staff including the nominated individual, team leader, and care staff.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records. We spoke with two relatives about their experience of the care provided, and two further members of staff.

Updated 12 February 2020

About the service

Options Bredon House is a residential care home providing personal care to up to eight people with autism and Asperger’s Syndrome and learning disabilities.

The home has eight individual flats. Each flat consists of a kitchen, dining/lounge area, bedroom and bathroom. There is a communal lounge with kitchen area, and an accessible garden.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The home is registered to support up to eight people. There were five people living at the home on the day of the inspection.

People’s experience of this service and what we found

People continued to receive safe care and were cared for by experienced staff who had a good understanding of how to keep people safe. Staff recognised the signs of abuse and how to report it. Risks were assessed and monitored so staff knew what to do to keep people safe. The management team ensured accidents and incidents were reviewed and any lessons learnt completed.

People were supported by trained staff who understood their needs. People were encouraged to follow a healthy diet and were as independent as possible. Relatives said people were supported to access health care professionals and people’s environment was adapted for their needs.

People said they were treated with kindness and in a respectful way by the staff. Staff actively encouraged the people to make choices about their care, hobbies and areas of interest.

People were supported to communicate in their chosen style resulting in improved outcomes for people to make their own choices. Staff knew people well. People and their relatives said staff met people’s needs and encouraged independence.

People knew the management team and were comfortable to discuss any concerns. Relationships between people, relatives and staff were positive. Systems were in place to identify shortfalls in the quality of care provided, and ensure improvements were made.

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

Why we inspected

This was a planned inspection based on the previous rating.

Rating at last inspection

The last rating for this service was Good. The last report was published 31 July 2017.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.