We carried out a review of the data available to us about Bainbridge Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bainbridge Court, you can give feedback on this service.
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.
At the last inspection on 19 January 2016, 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 the last inspection the home was consistently effective. At this inspection we found there was an inconsistent approach to mental capacity assessments and best interest decisions. At times best interest decisions had been made without first assessing the person's ability to make the decision for themselves.
People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People could make day to day choices and staff adapted their approach to enable this. People's needs were assessed prior to people moving into the home and regularly thereafter. Staff continued to have skills and knowledge to deliver effective care and support.
People were supported to maintain a balanced diet. People continued to be supported to access healthcare services as and when needed. People's needs were met by the design and adaptation of the building.
People were safe. Staff had a good understanding of safeguarding and there were systems and process in place to keep people safe. Staff had a flexible approach to risk management which ensured good outcomes for people. Staffing was managed particularly well; the team were well coordinated and flexible to meet the changing needs of people. Lessons were learned when things went wrong and accidents and incidents were managed safely.
People continued to be treated with kindness and respect. People had access to information in a format to help their understanding. People were supported to be involved in decisions about their care and given support to express their views. People were encouraged to make decisions where appropriate and supported to be independent. People's differences were respected and staff adapted their approach to meet people's needs and preferences.
Care continued to be personalised to meet the needs of individuals including their social and wellbeing needs. People continued to have access to activities that met their interests. Activities were an important part of people's lives and were led by people's choices. There were systems in place to deal with concerns and complaints. The registered manager responded to complaints in a timely manner and in line with the provider's policy. People had access to technology to meet their needs.
The home continued to be well-led. Relatives were complementary of the manager and staff felt well supported. The culture of the home was positive and respected people's equality, diversity and human rights. Systems and process were in place to monitor the quality of the service being delivered. Staff continued to work in partnership with other organisations to ensure people's needs are met.
Further information is in the detailed findings below.
Bainbridge Court is registered to provide care for up to eight people with a learning disability or autism. The home is situated in Storrington, West Sussex. At the time of our visit there were eight people living at the home.
The service had a registered manager in place. 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.
People were protected from risks to their health and wellbeing. Plans were in place with safety measures to control potential risks. Risk assessments were reviewed regularly so information was updated for staff to follow.
People and their relatives said they felt safe at the service and knew who they would speak to if they had concerns. A safeguarding procedure was in place and staff knew what their responsibilities were in reporting any suspicion of abuse. Staff could also describe how to recognise the signs of abuse.
People were treated with respect and their privacy was promoted. Staff were caring and responsive to the needs of the people they supported. Staff sought people's consent before working with them and encouraged and supported their independence and involvement.
People's health and well-being was assessed and measures put in place to ensure people's needs were met in an individualised way. Medicines were managed well and administered safely. People were supported to eat and drink enough to maintain their health.
Staff received training to enable them to do their jobs safely and to a good standard. They felt the support received helped them to do their jobs well.
There were enough staff on duty to support people with their assessed needs. The registered manager followed safe recruitment procedures to ensure that staff working with people were suitable for their roles.
People benefited from receiving a service from staff who worked well together as a team. Staff were confident they could take any concerns to the management and these would be taken seriously. People were aware of how to raise a concern and told us they would speak to the registered manager and were confident appropriate action would be taken.
The premises and gardens were well maintained, clean and well presented. All maintenance and servicing checks were carried out, keeping people safe.
In our discussions with staff they demonstrated a thorough knowledge of the people living at the service and the appropriate skills to support them. This was confirmed by our observations and by the daily care records.
Care records showed that people had been supported to make decisions about their lives. We saw that people or their representatives had been involved in planning their care and support. When people's needs changed, we found that records had been updated to reflect this.
We spoke with staff who demonstrated a good understanding of how to safeguard people from harm. Training records showed that staff received regular training to update their knowledge on safeguarding.
Training records showed that staff were suitably trained and supported in their role. This included training specific to the people in the service.
Records showed the provider regularly assessed and monitored the quality of the service.
We saw that people were regulalry asked their views about the home and the servie provided to them.
People told us that they were happy and that they found staff to be friendly and helpful.
In our discussions with staff they demonstrated a thorough knowledge of the people living at the service. This was confirmed by our observations and by what we were told by a carer.
Care records showed that people had been supported to make decisions about their lives. We saw that people or their representatives had been involved in planning their care and support. When people's needs changed, we found that records had been updated to reflect this.
Staff spoken with demonstrated good understanding of how to safeguard people from harm. Training records showed that staff received regular training to update their knowledge on safeguarding.
Training records showed that staff were suitably trained and supported in their role. This included training specific to the people in the service.
Records showed the provider regularly assessed and monitored the quality of the service. We saw that people were asked their views about the home in annual surveys.
People told us that they were happy and that found staff to be friendly and helpful. A carer told us they had daily contact with staff and said "I can't praise the place enough; it's the best thing that could have happened".