The Care Quality Commission

Archived: The Windbound

The Windbound, Shepperdine Road, Oldbury-on-Seven, Bristol, BS35 1RW (01454) 418274

Provided and run by:
Voyage Limited

All Inspections

4 June 2013

During a routine inspection

The people living at The Windbound have complex needs and the people we saw were unable to tell us about their care. We carried out observations of the interaction between members of staff and the people they supported in different areas of the home and found staff to be caring in their approach.

People were walking freely around parts of the home, or were spending time in communal areas; some were in their own rooms whilst others went out to individual activities.

We saw that people's care and support was planned and delivered in a way that was intended to ensure their safety and welfare. Care plans showed that people had consented to their care. Where people did not have the capacity to consent the provider acted in accordance with legal requirements.

We looked at the written menus, and sat with some people during their midday meal. We saw that people were protected from the risks of inadequate nutrition and dehydration.

We looked at various records kept at the home including complaints, some people's care plans, and records to show how people were being kept safe. We looked at risk assessments and how people were given their medication. There were appropriate systems were in place to reduce the risk and spread of infection, and audit and monitoring controls were undertaken on a regular basis.

17 October 2012

During a routine inspection

The people living at The Windbound have complex needs and were unable to tell us about their care. We carried out observations of the interaction between members of staff and the people they supported in different areas of the home.

Staff were respectful in their approach and peoples' behaviour indicated that they felt comfortable and at ease in their conversations with staff.

People were spending time in communal areas; some were in their own rooms whilst others went out during the morning to individual activities. People were walking freely around parts of the home.

We spoke with staff during our visit. We saw that they had developed good relationships with people and were knowledgeable about their individual care needs.

We looked at peoples' care files and saw that peoples' care and support was planned and delivered in a way that was intended to ensure people's safety and welfare. We saw through staff rotas that there had been sufficient staff to support people with their care needs and activities.

We were shown around the home and saw that improvements had been made in providing a more suitable environment for people to live in.

We looked at various records kept at the home including some peoples' care plans, records to show how people were being kept safe and staff training records that showed how they were able to meet peoples' needs.

15 February 2012

During an inspection looking at part of the service

People were unable to fully tell us how they had been involved in decisions relating to their care due to the complexity of their learning disability. However, we were able to observe interactions between members of staff and the people they support.

We observed staff supporting people in a dignified and respectful manner. Staff were observed interacting with individuals in a positive manner. People were encouraged to participate in conversations.

Staff told us that the routine of the day is led by the people living in the home. We were told people could choose when to get up and go to bed. People were supported with their personal care in the privacy of their bedroom or the bathroom.

People were registered with a GP and attended health care appointments including the dentist, optician and chiropody. Other health care professionals were involved in the care of the person including the community learning disability team and a consultant psychiatrist.

People were now being supported with planned and structured activities. However this was dependable on the number of staff working in the home.

People were supported to maintain contact with relatives and friends.

This report should be read in conjunction with the report of the review conducted in August 2011 and October 2011. The purpose of the review was to follow up non compliance from our visit in October 2011.

12 October 2011

During an inspection looking at part of the service

People were unable to fully tell us how they had been involved in decisions relating to their care due to the complexity of their learning disability. However, we were able to observe interactions between members of staff and the people they support.

We observed staff supporting people in a dignified and respectful manner. Staff were observed interacting with individuals in a positive manner. People were encouraged to participate in conversations.

Staff told us that the routine of the day is led by the people living in the home. We were told people could choose when to get up and go to bed. People were supported with their personal care in the privacy of their bedroom or the bathroom. We observed staff knocking on doors and waiting for a response before entering.

People were registered with a GP and attended health care appointments including the dentist, optician and chiropody. Other health care professionals were involved in the care of the person including the community learning disability team and a consultant psychiatrist.

Whilst there were some activities there was not structured plan in place and some individuals were supported to access the community more frequently than others. People contribute to the transport however this was not based usage.

This report should be read in conjunction with the report of the review conducted in August 2011. The purpose of the review was to follow up non compliance from our visit in August 2011.

27 July 2011

During a routine inspection

We spoke with four people who receive a service, four members of staff, the manager and an operations manager.

People were unable to tell us in detail how they had been involved in decisions relating to their care as some of the individuals communicated using non verbal communication. However, we were able to observe interactions between members of staff and the people they supported.

Staff were observed offering individuals a choice of drinks and activities. Staff were sensitive to the needs of the people they supported and demonstrated a good awareness of their needs.

People living at The Windbound have a weekly time table of activities. People told us they could go out with staff if they wanted to. We were told that the structured activity plans for each person had recently been introduced by the manager. Staff told us that this was being reviewed daily to ensure the activities were appropriate for the individuals. People were being supported to go for a walk, a trip to the local shops and for a trip out on the mini bus on the day of our visit.

We observed people moving around their home accessing their bedroom and the communal lounge and garden area. There were limited activities happening in the home during our visit although four people had been supported to go out with staff in the morning.

People were supported with their personal care in the privacy of their bedroom or the bathroom. We observed staff knocking on doors and waiting for a response before entering.

People were registered with a GP and attended health care appointments including the dentist, optician and chiropody. Other health care professionals were involved in the care of the person including the community learning disability team and a consultant psychiatrist.

People cannot be assured that there are sufficient staff to meet their care needs ensuring they were safe and free from harm. People's care and support could be compromised due to the challenges of one person. Lack of documentation in respect of a person who was admitted to the home and current care plans reflective of the new service could put them and others at risk due to the of environment and the new people they were now sharing with as these related to their previous placement.