Archived: Bonhomie Sarisbury Green

Updated 30 July 2016

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.

The inspection was unannounced and took place on the 31 May and 1 June 2016. One inspector carried out the inspection.

Before the inspection, we reviewed the information we held about the service such as previous inspection reports, registration reports, notifications the provider is required to tell us about, and information that had been sent to us by other agencies. The provider also completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with three people living at the home and we also spoke with two relatives to gain their views on the quality of the service provided.

We spoke with six members of the support staff, the covering manager and the general manager. We looked at four staff recruitment files

We carried out observations of staff interacting with the people they supported.

We looked at the support records for three people as well a range of other records such as people's medicine administration records, quality audits and policies and procedures.

Updated 30 July 2016

This inspection took place on 31 May and 1 June 2016 and was unannounced.

Bonhomie Sarisbury Green is a care home which provides care and support to people living with a wide range of complex healthcare needs. These include acquired brain injuries, neurological conditions, physical disabilities and mental health issues. At the time of our inspection there were nine people living at the service. The accommodation is made up of 16 small studios which have a living area with a small kitchen area where people can make drinks and prepare snacks. There are en-suite bathrooms to each bedroom area. People could access some of the facilities at a nearby service run by the same provider. For example, swimming pool and Jacuzzi which is used for therapeutic and leisure activities.

Bonhomie House had 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 had been on long term sick, so the deputy manager was acting up into this role in their absence.

Processes and procedures to monitor the use of controlled medicines were not always being managed safely. These need to improve to ensure medicines are administered safely.

People that we spoke with told us that they felt safe. Staff had received training in safeguarding and were able to explain what they would do if they suspected that someone was being abused.

Recruitment and selection procedures were in place and appropriate checks were carried out before staff started work.

People living at the home had detailed care plans which included an assessment of risk. These were subject to regular review and contained sufficient detail to inform staff of risk factors and appropriate responses.

Staffing numbers were adequate to meet the needs of people living at the home. This was reviewed following incidents where new behaviours were observed which might increase or change people's dependency level.

Staff were suitably trained and skilled to meet the needs of people living at the home. The staff we spoke with confirmed that they felt equipped for their role. The training matrix and staff certificates showed that the majority of training was in date.

Staff had a good knowledge of people's individual needs and wishes and their likes and dislikes. This enabled staff to support people appropriately while promoting their independence. People were supported to take part in a range of activities both within and outside of the home.

Quality audits were routinely carried out. The provider was not routinely notifying the Care Quality Commission about incidents and accidents that had happened in the home.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.