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Inspection Summary


Overall summary & rating

Good

Updated 23 June 2017

Bull Point House and Annex is a residential care home for up to five people. It specialises in the care of people who have a learning disability and associated conditions such as autism. Each person has their own self-contained living accommodation within the home.

Some of the people who lived in the home had limited communication and used other methods of communication, for example pictures. We therefore used these and observations to understand people.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated good:

People remained safe at the service. There were sufficient staff available to meet people's needs and support them with activities and trips out. Risk assessments had been completed to enable people to retain their independence and receive care with minimum risk to themselves or others. This is particularly important for people who may challenge others. People received their medicines safely.

The Provider Information Return (PIR) recorded; “Each individual has a Positive Behaviour Support Plan which is compiled on an individual basis, looking at behaviours specific to that individual, what their triggers are, signs for staff to look out for in advance and what staff can do at each level to either prevent the individual from escalating further, or how to keep the individual and those around them safe.”

People continued to receive care from staff who had the skills and knowledge required to effectively support them. Staff were competent and well trained. People had the support needed to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice. People's healthcare needs were monitored by the staff and people had access to a variety of healthcare professionals according to their individual needs.

The staff were very caring and people had built strong relationships with the staff. We observed staff being patient and kind. People's privacy was respected. People where possible, or their representatives, were involved in decisions about the care and support people received.

The service remained responsive to people's individual needs and provided personalised care and support. People were able to make choices as much as possible in their day to day lives. Complaints were fully investigated and responded to. People were supported to take part in a wide range of activities and trips out according to their individual interests.

The service continued to be well led. Staff told us the registered manager was approachable. The registered manager and provider sought people's views to make sure people were at the heart of any changes within the home. The registered manager and provider had monitoring systems which enabled them to identify good practices and areas of improvement.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 23 June 2017

The service remains Good.

Effective

Good

Updated 23 June 2017

The service remains Good

Caring

Good

Updated 23 June 2017

The service remains Good

Responsive

Good

Updated 23 June 2017

The service remains Good

Well-led

Good

Updated 23 June 2017

The service remains Good