We carried out a review of the data available to us about The Boyne Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Boyne Residential Care Home, you can give feedback on this service.
The Boyne Residential Care Home is a residential care home providing personal care to up to 30 people. The service provides support to older and younger adults and people living with the experience of dementia. At the time of our inspection there were 30 people using the service.
People’s experience of the service and what we found
People and their relatives told us people received safe care. The provider had risk assessments and risk mitigation plans in place to help reduce risks and keep people safe. Safe recruitment practices were followed to help ensure suitable people were employed.
Staff received relevant training, so they had the right skills to meet people’s care needs. There were enough staff to provide appropriate support to people. We observed staff were kind and caring when interacting with people.
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.
Care plans included information about individual care needs and people’s preferences. The service supported people to participate in activities and maintain their interests.
People using the service and their relatives told us they knew how to raise concerns with the registered manager. The provider had procedures for managing incidents, accidents, safeguarding alerts and complaints. Quality monitoring processes were in place to help monitor and improve service delivery.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 15 December 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
There were signs in place requesting staff and visitors to adhere to government guidance with respect to PPE. The provider had built a staff room in the garden, staff accessed the building via the garden entrance and changed into their uniform before coming into the home. Staff were observed wearing appropriate PPE during our visit and had received training in its use. Visitors had their temperatures checked on arrival. PPE was supplied to visitors should they need it.
The provider was able to test people and staff for Covid-19 and support them should they test positive for Covid-19. New admissions were supported in line with best practice guidance.
At the last inspection on 23 and 24 November 2015, the service was rated Good.
At this inspection we found the service was Good.
People felt safe living at the service. People were safeguarded from the risk of abuse and staff knew the action to take if they had any concerns. There were enough staff available to meet people’s needs and staff recruitment procedures were followed to ensure only suitable staff were employed. Risks were assessed and plans put in place to minimise them. Infection control procedures were being followed and the service was clean and fresh throughout. Systems and equipment were serviced at the required intervals and were maintained to keep them in good working order. People knew about their medicines and these were being managed safely. The provider was open to learning from incidents to improve practice.
People’s needs and wishes were ascertained before they came to the service and the provider used up to date technology and followed good practice guidance and relevant legislation to drive up standards and practice in the service. Staff training needs were identified, they undertook recognised qualifications in health and social care and received ongoing training to provide them with the skills and knowledge to care for people to a good standard. People’s dietary needs and preferences were identified and met and there was a good variety of meals available, including those to meet people’s religious and cultural needs. People’s healthcare needs were identified and they received the input from healthcare professionals as required.
The provider had followed dementia care good practice guidance to redecorate the service and provide a homely, dementia-friendly environment for people to live in. 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, relatives, and professionals were very happy with the care and support staff provided to people. Choices were offered and met and staff were respectful and maintained people’s privacy and dignity. Staff had a good knowledge of people’s individual care and support needs which they met in a friendly, kind way and there was a happy, homely atmosphere throughout the service. People’s religious and cultural needs were known and respected.
Care records were comprehensive, person centred and reviewed regularly to keep the information up to date. Activities were based on people’s wishes and abilities and people enjoyed taking part. There was a complaints procedure in place and people felt confident to express any concerns, however minor, so they could be addressed. End of life care wishes were discussed and recorded so these were known and could be followed.
The registered manager was approachable and responsive and provided good leadership. They continuously strived to make improvements to the care and support people received and to the environment they lived in. The registered manager followed up to date good practice guidance and legislation as well as obtaining the views of people, relatives, staff and stakeholders about the service provision, which they listened to. The provider empowered people by being proactive and educating them about safeguarding, complaints, medicines management and mental capacity.
The service provided good quality care and met all relevant fundamental standards.
Further information is in the detailed findings in the main body of the report.
The inspection took place on 23 and 24 November 2015 and the first day was unannounced. The last inspection took place on 30 June 2014 and the provider was compliant with the regulations we checked.
The Boyne Residential Care Home provides accommodation for a maximum of 25 older people with dementia care needs. At the time of inspection there were no vacancies.
The service is required to have a registered manager in post, and there is a registered manager for this service. 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.
People confirmed they were happy living at the service and feedback from people, relatives and visiting healthcare professionals confirmed the service was well run and people’s changing needs were being identified and met.
Safeguarding and whistleblowing procedures were in place and staff understood these and were clear to report any suspicions of abuse. The complaints procedure was displayed in the service and people and relatives were encouraged to express their views. They were confident they could raise any issues and that these would be addressed.
Risks were assessed for people and also for any areas of risk within the service so these were identified and action plans put in place to minimise them.
Staff recruitment procedures were in place and were being followed to ensure only suitable staff were employed at the service. The service was appropriately staffed to meet people’s needs.
Medicines were being well managed at the service and people were receiving their medicines as prescribed. People’s nutritional needs and preferences were being identified and met. Input from healthcare professionals was provided to monitor and address people’s health needs.
We found the service to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and Mental Capacity Act 2005 (MCA). DoLS are in place to ensure that people’s freedom is not unduly restricted.
Staff received training and demonstrated a good understanding of people’s individual needs and wishes and how to meet these effectively. Staff supported people in a gentle, calm and friendly way and respected their privacy and dignity.
Care records reflected people’s needs, choices and interests and were kept up to date and staff understood people’s changing care and support needs and provided person-centred care. People’s religious and social needs were identified and were being met.
Systems were in place for monitoring the service and these were effective so action could be taken promptly to address any issues identified. The service used good practice guidance and research to identify and make improvements the service provided to people.
We spoke with three staff, which included one of the providers who was also the acting manager and two care workers.
We considered all the evidence we had gathered under the outcome we inspected. We used the information to answer one of the five questions we ask;
' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well led?
Information relating to staff recruitment helped to answer if the home was safe.
This is a summary of what we found:
Is the service safe?
Recruitment practices were robust and being followed. Staff received induction training and updates to provide them with the skills and knowledge to carry out their work effectively.