You are here

Bishops Waltham House Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 20 September 2017

Bishops Waltham House Care Home is a residential service providing care and accommodation for up to 36 older people requiring long stay, respite and re-ablement care, including those living with dementia. There were 31 people using the service at the time of this inspection.

The inspection was unannounced and was carried out on 21 and 23 June 2017.

There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the home. 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 home is run.

People and their visitors told us they felt the home was safe. Managers and staff had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.

The risks relating to people’s health and welfare were assessed and these were recorded and actions identified to reduce those risks in the least restrictive way. The assessments were personalised and provided sufficient information to allow staff to protect people whilst promoting their independence.

People were supported by staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs. There were enough staff to respond to and meet people’s needs.

There were suitable systems in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and competency assessments. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.

Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people in a patient and friendly manner.

Staff developed caring and positive relationships with people, were sensitive to their individual choices and treated them with dignity and respect. The managers and staff were skilled at supporting people at the end of their life and worked hard to ensure both the person and their relatives were looked after well at a difficult time.

The managers and staff understood the importance of involving people and their relatives in their care and providing support that was personalised to their individual needs. People were supported to maintain relationships and links with the community that were important to them.

The service was responsive to people’s needs and staff listened to what people said. Staff were prompt in raising issues about people’s health and people were referred to health professionals when needed. People were confident they could raise concerns or complaints and that these would be dealt with.

People were encouraged to provide feedback about the service they received, both informally and through meetings and a survey questionnaire.

People, their visitors and external professionals spoke positively about how the service was managed. Staff understood their roles and responsibilities and felt supported by the management to raise any issues or concerns. The quality of the care and treatment people experienced was monitored and action taken to promote their safety and welfare, as well as that of visitors and staff. Accidents and incidents were monitored and remedial actions taken to reduce the risk of reoccurrence.

Inspection areas

Safe

Good

Updated 20 September 2017

The service was safe.

Risks to people were individually assessed and action taken to minimise the likelihood of harm in the least restrictive way.

People received their medicines at the right time and in the right way to meet their needs.

People and their families felt the home was safe and staff were aware of their responsibilities to safeguard people.

There were enough staff to meet people�s needs and recruiting practices ensured that all appropriate checks had been completed.

Effective

Good

Updated 20 September 2017

The service was effective.

Staff sought verbal consent from people before providing care and followed legislation designed to protect people�s rights.

People were supported to have enough to eat and drink. They had access to health professionals and other specialists if they needed them.

Staff received an appropriate induction and on-going training to enable them to meet the needs of people using the service.

Caring

Good

Updated 20 September 2017

The service was caring.

The managers and staff developed caring and positive relationships with people and treated them with dignity and respect.

Staff understood the importance of respecting people�s independence, privacy and choices. People and their relatives were involved in decisions about their care.

Staff were skilled and compassionate in supporting people at the end of their life.

Responsive

Good

Updated 20 September 2017

The service was responsive.

The service was responsive to people�s needs and any concerns they had.

Care plans and activities were personalised and focused on individual needs and preferences.

People were encouraged to maintain links with the community, friendships and important relationships.

The service involved people and their representatives in planning and reviewing their care and had a process in place to deal with any complaints.

Well-led

Good

Updated 20 September 2017

The service was well-led.

The registered manager demonstrated an open and inclusive style of leadership. Staff understood their roles and responsibilities and there were clear lines of accountability within the service.

People, their families and staff had opportunities to feedback their views about the home and quality of the service being provided and this was used to drive improvements.

The quality of the care and treatment people experienced was monitored and action taken to promote people's safety and welfare.