15 November 2023
During a routine inspection
Bannigans is a residential care home providing accommodation and personal care for up to 4 people with Prader Willi syndrome, learning disabilities and/or autism. At the time of the inspection 4 people were receiving support. The property is a large detached two storey building with individual bedrooms and communal living areas with a small garden to the rear of the property. The service offers 24-hour support.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not always able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture".
Right Support
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. The policies and systems in the service did not support this practice.
Support plans required more information for staff to understand how to support people to mitigate risks. People’s plans were person-centred and reflected people’s views and wishes.
People received their medicines safely and had access to appropriate health and social care support.
People were supported to maintain meaningful relationships with people who mattered to them.
Right Care
People’s care, treatment and support plans reflected most of their needs and this promoted their wellbeing and enjoyment of life. Improvements were being made to incorporate all areas of people’s lives.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service deployed appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture
Systems to monitor the quality of the service required improvement to ensure audits were effective and actions were completed in a timely way.
The values and attitudes of managers and staff supported people to live inclusive and empowered lifestyles. Staff promoted equality and diversity when supporting people.
People and staff had opportunities to give feedback about the service and contribute their thoughts and ideas for improvement. They felt listened to and were confident that any issues would be resolved.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 16 July 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well led sections of this full report.
Enforcement
We have found breaches in relation to consent and management oversight at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.