About the service Bishop’s Cleeve Care Home is a purpose built residential care home providing personal care to up to 64 people. The service provides support to older people. The home has 4 separate units, one of which specialises in supporting people who live with dementia. At the time of the inspection there were 33 people using the service living across 3 of the units.
People’s experience of using this service and what we found
People and relatives told us they felt safe and were positive about the care received, however we found robust risk mitigation plans were not always in place for all people and staff were not given clear guidance or information on how to protect people from associated risks. Not all staff knew how to support people to manage their risks. People were not always robustly protected from the risks of their environment.
Medicines are not always managed safely for people living at the service.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests.
People’s care and support was not always delivered in a person-centred way.
Systems to monitor and improve the quality and safety of the service were not always effective. Records to support the management of the service had not always been maintained.
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 15 August 2022).
Why we inspected
We received concerns in relation to the management of the service, the quality of people's care and support and the management of risks to people. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bishop’s Cleeve Care Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, safeguarding, person centered care and good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.