Bowgreave Rise Home for Older People

Updated 21 February 2019

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 the 30 and 31 January 2019. The first day was unannounced. At the time of the inspection there were 30 people living at the home.

The inspection was carried out by one adult social care inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience who supported this inspection had experience of supporting older people who may be living with dementia.

Before our inspection on the 30 and 31 January 2019, we completed our planning tool and reviewed the information we held on the service. We also reviewed notifications we had received from the provider, about incidents that affect the health, safety and welfare of people who received support and information from members of the public. We contacted the local funding authority and asked them their views on the service provided. In addition, we contacted Healthwatch. Healthwatch are the independent national champion for people who use health and social care services. We used all information gained to help plan our inspection.

We spoke with eight people who received support and five relatives. We also spoke with the senior operation manager, the registered manager and the chef. In addition, we spoke with seven care staff. We also spoke with two visiting health professionals and a building surveyor.

We walked around the home to check it was a safe environment for people to live and observed the interactions between people who lived at the home and staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked at care records of three people who lived at Bowgreave Rise Home for Older People. We also viewed a sample of medicine and administration records. In addition, we viewed a training matrix and the recruitment records of three recently recruited members of staff. We looked at records related to the management of the service. For example, we viewed records of environmental checks, accident records and health and safety certification.

Updated 21 February 2019

Bowgreave Rise Home for Older People was inspected on the 30 and 31 January 2019 and the inspection was unannounced on the first day.

Bowgreave Rise Home for Older People can accommodate up to 32 older people, some of whom may have dementia. The home is situated over three floors with a passenger lift providing access to the upper floors. There are 32 single rooms all having a wash hand basin and a call system. There are lounges and dining areas on each floor providing communal space and small sitting areas around the home so people can sit quietly if they wish.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection visit we found the service remained good.

Why the service is rated good.

Staffing was arranged to ensure people were supported promptly and people told us they were happy with the staffing arrangements at the home. Staff told us they were sometimes busy and we discussed this with the registered manager.

Prospective employees were subject to recruitment checks to ensure they were suitable to work with people who may be vulnerable.

We saw documentation which showed people were referred to external health professionals if this was required. People told us and we saw they received personalised care in accordance with their needs and wishes.

Training was available to ensure staff were skilled, competent and able to fulfil their role. Staff told us they received supervisions and appraisals to enable them to review their performance.

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 told us they felt safe living at the home and staff had knowledge of the action to take if they were concerned someone was at risk of harm or abuse.

Technology was used to minimise the risk of falls and staff were aware of the importance of following people’s individual risk assessments so the risk of harm was minimised.

Care plans and risk assessments were written and accessible to staff so they had information on how to support people. These were reviewed and amended as people’s needs changed. People and relatives told us they were involved in care planning.

People, and relatives told us staff were caring and we saw warm and gentle interactions between staff and people who lived at the home. Staff told us they valued people as individuals and would take action to promote and protect their human rights.

People could provide feedback on the service provided through surveys, face to face conversations and group meetings. The registered manager reviewed the feedback and made changes whenever possible.

There was a complaints procedure at the home and people and relatives told us they had no complaints to raise at the time of the inspection.

People and relatives told us the service was well managed and the registered manager was approachable. Staff told us they felt supported and could attend staff meetings to discuss any changes happening at the home.

There was an activities programme for people to enjoy if they wished to do so. People who attended activities told us they enjoyed them.

A series of checks and audits were carried out to ensure areas of good practice were identified and any areas of improvement could be addressed.

Medicines were managed safely. Staff told us they had received training to ensure they were able to administer medicines safely.

Care records contained information regarding people’s end of life wishes and staff told us they would respect these.

The environment was visibly clean and staff wore personal protective equipment when this was required. Some areas of the home had been identified for refurbishment and we were informed this work was being scheduled.

Further information is in the detailed findings below.