- Care home
Bourne Bridge House
Assessment report published 5 November 2026
Contents
Ratings
Our view of the service
Date of assessment: 10 September to 1 October 2026. Bourne Bridge House is a residential care home registered to provide accommodation and personal care for up to 8 people with a learning disability, and autistic people. At the time of the assessment 8 people were living at the service.
We gave the service 48 hours' notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us. We needed to make sure relevant staff were available and records were accessible.
We assessed the service against, ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability, respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
People were supported by a consistent staff team, who knew them well and knew how to support their needs safely. There were enough staff, and staff were responsive to people’s needs. Incidents, safeguarding concernsand complaints were analysed and lessons learned to reduce future risks. People received the support they needed with their medicines. Support with medicines was monitored to ensure safety and effectiveness.
The provider demonstrated an integrated approach with clear networks across health and social care to meet people’s needs. They strongly advocated for people to overcome any barriers and receive the right support from external agencies.
The registered manager had a clear commitment to the service and the people they supported; they were a visible and hands on presence within the service. Staff felt well supported by the registered manager.
Concerns were identified which demonstrated that systems for identifying, escalating and responding to environmental risks were not always effective. While the registered manager had recognised the need for improvements through their oversight and monitoring processes and had raised these concerns with the provider, prompt action had not been taken to rectify known issues. As a result, people continued to be exposed to environmental hazards for longer than necessary, increasing the risk of harm and negatively impacting their living environment.
The provider was in breach of legal regulations in relation to safe premises and equipment.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
Relatives were consistently positive about the quality of care and support provided to their family members. They told us their relatives were safe, respected and listened to, and that staff understood their individual needs, preferences and communication styles. Relatives said people felt comfortable with the staff supporting them and were confident that concerns, wishes and choices would be listened to and acted upon.
Relatives spoke positively about the staff who supported their family members, describing them as friendly, kind and caring. They told us staff treated people with dignity and respect and supported them to make their own choices.
Relatives told us the service had made a significant and positive difference to their loved ones' lives. One relative said, “They really do look after wellbeing. I have no concerns; they do a brilliant job.” Another relative told us their family member had “settled, grown in confidence and was able to engage in meaningful activities,” which they felt reflected the quality of care and support provided.
Staff demonstrated a good understanding of people's individual communication needs and were able to describe the different methods people used to express their wishes, choices and feelings. Communication was tailored to the individual, helping to ensure people were understood and fully involved in decisions about their lives and support.
Professionals also provided positive feedback about the service. One professional told us, “The provider takes a holistic view of the person's wellbeing, considering diet, daily routines, physical activity, stimulation and emotional needs.”
Feedback from people, relatives and professionals demonstrated that staff knew people well and provided compassionate, person-centred support that promoted safety, wellbeing, confidence and meaningful involvement in everyday life.