95 Bromyard Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. 95 Bromyard Road accommodates up to six women in one adapted building, with areas for people to spend time together or more privately as they choose. Care and accommodation is provided for women with mental health needs. Some people living at the home may also live with learning disabilities.
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, the service was rated Good. At this inspection we found the service remained Good.
People told us staff talked to them about their safety and that they received care from staff that understood their safety needs. Staff took action to help people to remain as safe as possible. This included when people were developing their independence and trying new things which were important to them. Staff knew what action to take if they had any concerns for people’s physical or emotional well-being and were confident senior staff would put plans in place to protect people if this was required.
There was enough staff available to care for people and to spend time with them doing things people enjoyed, so the risk of people feel anxious or isolated was reduced. People were supported to have the medicines they needed to remain well and free from pain. Action was taken to ensure the risk of people becoming ill through infection was reduced and systems were in place to manage people’s safety.
People had the opportunity to meet staff and visit the home before they decided to move to 95 Bromyard Road. Staff assessed people’s care needs and involved people who knew them, so they could put initial plans in place to meet people’s needs. These processes had recently been further developed, to enhance people’s experience of living at the home.
People and their relatives told us staff knew how to look after them. Staff had undertaken training to develop the skills they needed to care for people living at the home and to meet their needs. People enjoyed preparing their own drinks, snacks and meals and were supported by staff to do this safely, where they wanted this. Staff supported people to access the health services they needed to remain well.
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 and their relatives were complementary about staff’s caring approach. People had built trusting relationships with the staff that supported them, and wanted to involve staff in their day to day lives. People showed us they enjoyed spending time with staff. Staff recognised people’s right to independence and varied how they communicated with people so they were able to make informed decisions about the care they wanted. People’s rights to dignity and privacy were understood by staff and their rights were respected.
People’s care had been planned by taking their individual histories, wishes and needs into account. Staff communicated information regularly with other staff, so people’s care would be adapted to meet their changing needs. People and their relatives knew how to raise any concerns or complaints they may have and were confident these would be addressed.
The registered manager encouraged people and staff to make suggestions to develop the home and people’s care further. Staff had been supported to understand how they were to care for people so they there independence and confidence would grow and they would enjoy a good quality of life. People benefited from living in a home where links had been made with other organisations so their needs would be met.
The provider and the registered manager checked on the safety and quality of the care provided to people, and put plans in place to develop the home further. This included refurbishment of the communal areas of the home and gardens.
Further information is in the detailed findings below.