14 June 2023
During a routine inspection
Breach House is a residential care home providing regulated activity of accommodation and personal care to up to 34 people. The service provides support to older people some of which have dementia. At the time of our inspection there were 5 people using the service.
People’s experience of using this service and what we found
Improvements had been made to the assessment and management of risks however further improvements were needed. Improvements had been made to the administration of medicine though further improvements were required to ensure the safe storage of medicines. Staff were recruited safely, and a sufficient number of staff were employed to meet people’s needs. Staff understood and followed infection control measures, and when things went wrong, the provider had learned lessons and developed improved systems.
The provider had introduced audit systems to monitor the safety and quality of the service, but these required further development and time to embed. A positive person-centred culture was promoted, and the manager promoted learning and development.
Staff gained the skills and knowledge necessary to meet people’s care and nutritional needs through regular training. People were supported to access healthcare as needed; through positive links the manager had established with external professionals.
We found an improved culture in the home. The manager and staff were caring and respectful of people which ensured a person-centred approach to the people living in the home. People’s views were sought with equality, privacy and dignity promoted.
Staff were responsive to the needs of each individual. The provider had introduced a new complaints procedure to manage and respond to any complaints they received.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 21 July 2022). At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 21 July 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.