Background to this inspection
Updated
17 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
Bungay House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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.
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 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 2 people who used the service and 4 relatives. We spoke with 13 staff members including the provider, registered manager and care staff. We spoke with six external health professionals. We reviewed four care records and two recruitment files. Multiple records relating to the quality, safety and monitoring of the service were reviewed.
Updated
17 August 2023
Bungay House is a residential care home providing personal care to up to 20 people. The service provides support to people living with a mental health condition. At the time of our inspection there were 20 people using the service.
People’s experience of using this service and what we found
At the last inspection improvements were required to ensure that the principles of the Mental Capacity Act were followed. At this inspection we found that all required improvements had been made.
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.
People received person-centred care delivered by passionate and caring staff. People were supported to participate in the planning of their care according to their needs. People’s wishes were sought and respected, and people were supported to make decisions according to their ability.
People were supported to live full and active lives and participate in activities of their choosing.
The service was well-led, and this was evident at all levels. There was a comprehensive quality assurance system in place which was capable of identifying areas for improvement. We saw that areas for improvement identified by the system had been acted upon.
Medicines were stored safely within the home and administered in line with the instructions of the prescriber.
There were sufficient numbers of staff to meet people’s needs in a timely manner. Staff were recruited safely.
The service was clean and there were appropriate procedures in place to minimise the risk of the transmission of infection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 15 July 2019). At that inspection improvements were required to ensure that the principles of the Mental Capacity Act were consistently followed. At this inspection these improvements had been made.
Why we inspected
This inspection was planned to assess progress with shortfalls identified at our previous inspection on 15 July 2019.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.