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Bull Point House & Annex Good

Inspection Summary


Overall summary & rating

Good

Updated 31 January 2020

About the service

Bull Point House & Annex (hereafter referred to as Bull Point House) is a residential care home providing personal and nursing care to five younger adults at the time of the inspection. The service can support up to five people. Bull Point House is a detached property in its own grounds set over two floors with views over the Tamar river. There is a separate self-contained building called “the annex” that has ground floor accommodation for one person in close proximity to the main building.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People were supported by exceptionally kind and caring staff. Staff went out of their way to ensure people were happy and could recognise their own goals and start to take steps towards achieving them. People were treated with dignity and respect by staff who were supported to reflect on their practice.

People had choices about what they did in a day, what they ate, and who supported them. People’s living skills were developed, and we saw clear evidence of the service encouraging people to become more independent. People were involved in the day to day running of the service, helping with cooking, shopping, admin tasks and environmental checks.

There were enough staff to meet people’s needs. Staff were recruited safely and given bespoke training, so they could develop the skills to meet people’s unique needs. Medicines were managed safely. Risks were assessed and reviewed regularly by staff who knew people well.

The service linked in with key health professionals to ensure people’s needs were being met. There was a positive behavioural support approach where interactions and behaviours were recorded and observed closely to look for themes and trends.

The service adapted the property around people to meet their individual needs. People’s rooms were highly personalised and comfortable. People enjoyed the food and could choose what they wanted to eat.

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. Staff understood consent and asked people how they would like support.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People went out when they wished to and took part in individual and community activities.

The service was well-led, by a management team that were respected and invested their time effort and resources of the provider into creating a balanced, happy life for the people living in the service. Staff told us they felt supported and t

Inspection areas

Safe

Good

Updated 31 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 31 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 31 January 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 31 January 2020

The service was well-led.

Details are in our well-led findings below.