Bridgewell House

Updated 29 May 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by an inspector and an inspection manager.

Service and service type

Bright Futures Care Ltd is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection

The service had a registered manager. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 11 May 2021 and ended on 14 May 2021. We visited the service on 11 May 2021.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority commissioning and safeguarding teams.

During the inspection

We spoke with one person who used the service about their experience of the care provided and we spent time in communal areas observing the support people received. We spoke with eight staff members including care staff and the registered manager. We looked at care records for four people and a selection of medication records. We looked at recruitment records for three staff employed since the last inspection and a variety of records relating to the management of the service, including audits.

After the inspection

Due to the impact of the COVID-19 pandemic we limited the time we spent on site, and were unable to speak with family members, due to visiting restrictions. Therefore, we requested records and documentation to be sent to us and reviewed these following the inspection visit. We contacted three family members by telephone about their experiences of the care provided.

We continued to seek clarification from the provider to validate evidence found.

Updated 29 May 2021

About the service

Bright Futures Care Ltd is a residential care home that accommodates up to eight people living with learning disabilities or autistic spectrum disorder. The service is made up of two self-contained houses next door to each other. At the time of our inspection there were five people living in one house and three people living in the other.

People’s experience of using this service and what we found

We were assured that infection prevention and control (IPC) measures were appropriately followed. There was a good supply of personal protective equipment (PPE) and cleaning products and they were used effectively to minimise the spread of infection. The environment was clean and hygienic.

Risk was managed in a way that enabled people to take positive risks as part of an independent lifestyle. People were protected from the risk of abuse and harm and staff understood their responsibilities for keeping people safe. Family members told us they trusted staff and were confident their relative was kept safe. Medicines were kept safe and given to people at the right time. There was a process in place for recording, reporting and learning from accidents and incidents.

The registered manager promoted a culture which was person-centred and inclusive. Staff and family members described the registered manager as supportive and approachable. There was good partnership working with other professionals. There was an effective system in place for checking and improving the quality and safety of the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service is in the local community with good access to amenities. People were actively involved in the local community. People have their own private facilities as well as the use of some communal spaces. Managers and staff empowered people to make choices and decisions about their lives.

Right support:

• Model of care and setting maximises people’s choice, control and independence

Right care:

• Care is person-centred and promotes people’s dignity, privacy and human rights

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 10 May 2018).

Why we inspected

The inspection was prompted in part due to concerns received about people’s safety and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from the concerns.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bright Futures Care Ltd on our website at www.cqc.org.uk.