3 October 2018
During a routine inspection
Bourne View provides care and support for up to four people with either a learning disability and or autistic spectrum disorders. At the time of our inspection there were four people living at the service. The service was provided from a domestic style four bedroom house over two floors. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.
At the last inspection the service was rated Good. At this inspection we found the service remained Good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager also had oversight of another six residential care homes and supported living services run by the provider.
Systems were in place to ensure people remained safe whilst promoting their independence. Risks to people had been adequately identified and measures put in place with guidance for staff to mitigate the risk of harm.
Staff had the knowledge, skills and training to meet people’s needs and keep them safe. Staff understood their responsibilities in relation to reporting accidents and incidents. Staff were provided with training in how to recognise abuse and report issues of concern appropriately.
People were involved in the planning of meals and menus. They received appropriate nutrition and hydration support to maintain their health and wellbeing.
The service was meeting the requirements of the Deprivation of Liberty Safeguards (DoLs). People were supported to have maximum choice and control of their lives in the least restrictive way possible.
People were treated with kindness and respect by staff who knew them very well. They were enabled to remain as independent as possible.
There was a system in place to receive and manage complaints with guidance written in a format which met people’s needs. People were supported and encouraged to express their views and opinions about how the service was provided and how they lived their daily lives.
People were provided with personalised care and support to engage in meaningful activities which met their needs for autonomy and independence. There were regular opportunities for social inclusion with access to the community and annual holidays.
Regular ongoing health checks were in place with access to specialists for advice and support to support people’s physical, emotional and mental health and wellbeing.
There were systems in place to monitor the quality and safety of the service. This included systems to ensure that people continued to receive care that met their needs and protected their rights. This included annual reviews of the person’s care needs with their involvement and their representatives.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.” Registering the Right Support CQC policy
Further information is in the detailed findings below