Background to this inspection
Updated
18 October 2019
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 undertaken by an inspector, an assistant 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’s area of expertise was older people and dementia.
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 either 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.
The service had a manager registered with the Care Quality Commission. This 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
We gave the service 24 hours’ notice of the inspection visit. This was to enable us to make arrangements to speak with people and their relatives and to be sure the registered manager would be in the office to support the inspection. We visited the location on the 24 September 2019.
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 (PIR). 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 13 people and one relative about their experience of the care provided. We spoke with six personal support staff (care staff), a nurse, the operations care manager, co-ordinator, and the registered manager.
We reviewed a range of documents and records including the care and medicines records for six people, two staff recruitment files and training records. We also looked at records that related to the management and quality assurance of the service.
Updated
18 October 2019
About the service
Bournville Gardens provides personal care to people that live in their own apartments and cottages within an extra care housing complex. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection the service supported 40 people.
People’s experience of using this service and what we found
People told us they felt safe when being supported by staff in their homes. Relatives had no concerns about the safety of their loved ones. People and their relatives confirmed staff arrived on time or called them if they were running late. People were supported by a consistent core group of staff. Staff knew how to escalate any concerns and were aware of any potential risks when providing support to people. People received the support they needed to take their medicines.
Staff had the training they needed to meet people’s needs and felt supported. People had a comprehensive assessment completed before the service commenced to ensure their needs could be met. 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’s healthcare needs were monitored by staff and the nurse employed to work at the service.
People and relatives made positive comments about the staff that supported them, describing staff as kind, caring and helpful. People told us the staff encouraged them to be independent, protected their privacy and treated them with dignity and respect. People’s human rights were respected and promoted.
People were involved in all aspects of their care and in the development and review of their care plan. People’s communication needs were identified, and information was provided in a format that was accessible. As people lived within an extra care complex they were able to access a variety of facilities and activities to meet their social and cultural needs. A complaints procedure was in place and people and their relatives knew how to raise concerns and felt confident these would be addressed.
People, and relatives thought the service was managed well. Staff felt supported in their role and told us the culture of the service was inclusive and empowering. The registered manager was described as approachable, open and transparent in the way they managed the service. Systems were in place to monitor the delivery of the service.
Rating at last inspection
The last rating for this service was good (published 8 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk