You are here

Bourne House Requires improvement

We are carrying out a review of quality at Bourne House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 February 2021

About the service

Bourne House is a residential care home in the Ashton-under-Lyne area of Tameside, providing personal care without nursing to 23 people aged 65 and over at the time of the inspection. The service can support up to 33 people. All rooms provide single accommodation, some are en-suite. There are communal areas including lounge and dining rooms, bathrooms and a secure garden area.

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

The provider had not always had systems for oversight that were effective. New processes and paperwork for checking the quality of service and driving improvement had been introduced but needed to be embedded. The manager was working closely to involve the people living at Bourne House, relatives, staff and external services in driving improvement within the service.

Some staff training was out of date, although staff were caring and understood how to meet people’s needs. There were plans to improve the mealtime experience and a new menu had recently been introduced. People’s needs were assessed and people were supported in line with their choices and preferences. 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.

Safe recruitment processes were in place, although we noted these could be more robust. People’s medicine was safely stored, and they were supported to take their medicines by staff who were competent to do this. The service was clean and tidy, staff had access to personal protective equipment and any shortfalls were addressed by the manager. People looked well cared for and paperwork had been implemented to assess people’s needs and mitigate risks where possible.

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 requires improvement (published 21 October 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found enough improvement had not been sustained and the provider was still in breach of regulations. Please see the well led sections of this full report. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

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 coronavirus and other infection outbreaks effectively.

We received concerns in relation to staffing and how people were supported with safe care and treatment. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and Well-led only.

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 requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe, Effective and Well led sections of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumst

Inspection areas

Safe

Good

Updated 13 February 2021

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 13 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 13 February 2021

Responsive

Good

Updated 13 February 2021

Well-led

Requires improvement

Updated 13 February 2021

The service was not always well-led.

Details are in our well-Led findings below.