Bowland View

Updated 19 July 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.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

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 who was absent from work. The service was being supported by the provider’s regional manager and the service’s acting manager and both supported us with this inspection.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we wanted to be sure there would be staff and people available to speak with us.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 23 November 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service about their experience of the care provided. We spoke with 5 members of staff including the regional manager, the acting manager an assistant care manager and 2 care workers. We also spoke with a visiting health professional to the service. We reviewed a range of records. This included 4 people’s care records and medication records. We looked at 6 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 19 July 2023

About the service

Bowland View support people to live independently in their own homes and aims to enhance their quality of life by providing personal care services. The service offers individualised care packages on a domiciliary care basis, specifically tailored to a person's requirements.

This service provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate the premises used for extra care housing; this inspection looked at people's personal care and support service.

People using the service lived in ordinary flats in a purpose built assisted or tailored care living development. Not everyone living at Bowland View receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

People’s experience of using this service and what we found

Risks relating to people's needs had been identified. Records seen provided a detailed plan for staff to follow in managing those risks. Systems were in place to record accidents and incidents. These were consistently monitored to identify any themes or trends allowing for any lessons to be learned.

There were enough numbers of staff on the rota to support the number of people using the service. We received positive feedback from people about the reliability of their visit times. Information required in staff recruitment files was not always completed in full and some files needed to include more details to ensure the recruitment process was robust.

We have made a recommendation about completing thorough recruitment checks.

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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Training records seen demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke positively about the staff who supported them.

People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. People’s individual needs were responded to well and people were extremely satisfied with the service. Concerns and complaints were promptly responded to. End of life care where relevant was done co-working with the community nurses.

There was a positive culture at the service; people spoke highly about the staff and staff told us really enjoyed their jobs. There was regular oversight and monitoring of the safety and quality of the service. The regional extra care manager and acting manager were committed to learning and developing to improve the service, and engaged well with people, their relatives and staff.

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

Rating at last inspection

This service was registered with us on 7 January 2022 and this is the first inspection.

Recommendations

We have made a recommendation about the recruitment process and that it ensures information relating to checks of suitability are robust.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.