Bredon View

Updated 8 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 15 January 2019 and was unannounced. This inspection was completed by one inspector.

Prior to the inspection we looked at the information we had about the service. This information included the statutory notifications that the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We reviewed the Provider Information Record (PIR). This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make.

We spoke with eight people and observed the care and support being provided. We spoke with the manager, three representatives of the provider, the head of care, four members of staff and the chef. We looked at the care records for three people, including their medicines records. We looked at the recruitment records for three new members of staff, training records, health and safety records and quality assurance systems. We have used feedback given to the provider by people, relatives and professionals as part of their quality assurance process. We looked at an inspection carried out by commissioners in February 2018.

Updated 8 February 2019

Bredon View 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. Bredon View can accommodate up to 26 older people. At the time of our inspection there were 18 older people living there of whom one had been diagnosed as having dementia. Bredon View provides family style accommodation in Cheltenham. People each have their own bedroom with en-suite facilities. They share bathrooms, a lounge, dining room and a cinema/activities room. The garden to the rear is accessible.

This inspection took place on 15 January 2019. At the last comprehensive inspection in July 2016 the service was rated as Good overall. 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 on-going 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 this inspection we found the service remained Good.

At the time of the inspection there was no registered manager. A new manager had been appointed in October 2018 and they were submitting applications to the Care Quality Commission to become registered. 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’s care was individualised and person centred, reflecting their life histories, likes and dislikes and needs. Staff understood them well. People’s needs had been assessed and were monitored and reviewed each month or sooner if their needs had changed. Their relatives were involved in this process and kept informed about any changes. 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 were encouraged to be as independent as possible. Staff encouraged them to do as much as they could for themselves. Risks were assessed and strategies were in place to minimise any hazards. People’s safety was promoted. They were supported to stay healthy and well. Their nutritional needs were closely monitored. Special diets were provided if needed. People had access to snacks and hot and cold drinks. People had access to their GP, optician, dentist and chiropodist. Staff liaised closely with health care professionals. People’s medicines were managed safely.

People were being asked about which activities they would like to take part in. These included pet therapy, baking and cooking, trips out and gardening. People were supported individually to go out for walks, to do puzzles and to chat with staff. Musical movement and fitness classes were held in the home. People were supported to attend a place of worship. Friends and family were able to visit whenever they wished.

People were supported by enough staff to meet their needs. Checks were completed as part of the recruitment process. Staff felt supported in their roles and had access to refresher training to keep their knowledge and skills up to date. Staff were knowledgeable about people, their backgrounds and individual needs. People were treated with respect and sensitivity. They had positive relationships with staff and enjoyed spending time in their company. Staff understood how to keep people safe and were confident any concerns they raised would be listened to and the appropriate action taken in response.

People’s views and the opinions of their relatives and staff were being sought to make improvements to the service provided. The manager worked as part of the team enabling them to lead by example and to also ensure their values were embedded in people’s experience of their care. People told us, “Staff are lovely”, “They look after me well. Nothing is too much trouble” and “There is never a dull moment.”

Quality assurance processes were carried out by the manager and provider to make sure the standard of care they wished to provide were maintained. The home had been completely refurbished and systems were in place to make sure this was maintained. The manager said, “We provide the best quality care we can and wish to be seen to provide an outstanding home.”

Further information is in the detailed findings below.