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Real Life Options - 18 Bisley Drive Good

Inspection Summary

Overall summary & rating


Updated 19 October 2017

This inspection took place on 21 and 29 August 2017. Bisley Drive is a short-break service providing care and support for people with a learning disability, some of whom may have physical disabilities. The service can accommodate up to seven people.

A manager was in place and they had applied to become registered with the Care Quality Commission. 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.

At the last inspection in June 2016 the service was not meeting all of the legal requirements. People were not always protected from the risks of inappropriate care because care records were not always complete to ensure their needs were met and people were at risk of being deprived of their liberty without proper authorisation. At this inspection we found improvements had been made and the service was no longer in breach.

Care plans were individualised and contained comprehensive personalised information about the person and their preferences.

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 supported to make decisions about their care and support and staff obtained their consent before support was delivered. The service was able to assist people to access an advocacy service where people had no family or personal representative.

Staff we spoke with were knowledgeable about the people they supported. They were aware of their preferences and interests, as well as their health and support needs.

The provider ensured the right mix of staff with appropriate knowledge and experience were readily available to make sure people’s needs were met.

Staff had received safeguarding training and were knowledgeable about how to protect people from abuse.

The provider continued to maintain an effective recruitment process. People were involved in the selection and interviewing of potential new staff members.

Training and development was up to date and staff told us they received regular supervisions and appraisals.

Where risks were identified they were assessed and managed to minimise the risk to people who used the service and others.

The provider had a thorough continuity plan in place to ensure people would continue to receive care following an emergency. Checks were in place to maintain the safety of the home.

People were supported to receive their medicines in a safe manner. Medicines records we viewed were complete and up to date.

Feedback was sought from people, relatives and staff in order to monitor and improve standards.

People were provided with a choice of healthy food and drinks to help ensure that their nutritional needs were met.

Relatives and people told us staff were kind and caring. We observed many happy interactions between staff and people living at the service, people were comfortable in the company of staff.

The service planned activities around the wishes of people staying at Bisley Drive. Staff told us they ran the service like a hotel.

The service had an easy to read complaints and compliments procedure was in place. This explained how to make a complaint and what would happen.

Staff told us they felt supported by the manager.

Inspection areas



Updated 19 October 2017

The service was safe.

The provider continued to have a robust recruitment process and procedure in place.

Staff were confident in describing the action they would take if they witnessed any type of abuse.

We found there were sufficient staff on duty to meet people's needs.



Updated 19 October 2017

The service was effective.

Training and development was up to date. Staff told us they regularly attended supervisions and appraisals.

Meals were planned around people's dietary preferences.

MCA assessments and �best interests� decisions were being carried out for people who lacked capacity to make decisions for themselves.



Updated 19 October 2017

The service was caring

People told us the staff were caring and treated them well. Relatives also confirmed their relative was treated with dignity and respect.

Staff were knowledgeable about the people they supported. They were aware of their preferences, interests and family structure.

People were involved in all aspects of decision making about their care and treatment.

People�s care plans and personal information was kept secure.



Updated 19 October 2017

The service was responsive.

Care plans were comprehensive and included clear information for staff to follow to make sure people�s needs were met.

The provider had a complaints process to deal with people�s concerns.

We saw activities were planned around the people using the service.



Updated 19 October 2017

The service was well-led

Staff told us they enjoyed working at the service.

The manager had comprehensive systems to audit various aspects of the running of the service.

The manager ensured statutory notifications had been completed and sent to the CQC in accordance with legal requirements.