Bowens Field

About the service

24 Bowens Field is a residential care home providing personal care to three people at the time of the inspection. The service can support up to three people. The home is a normal domestic dwelling and in keeping with the local community.

People’s experience of using this service and what we found

Right Support

Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People had a choice about their living environment and were able to personalise their rooms.

People were supported to take their medicines by staff who had received medicines training. Staff demonstrated a good understanding about how to recognise abuse and how to safeguard people from this. People were supported by staff to ensure they ate and drank sufficient amounts to maintain their health.

People were able to access relevant healthcare services when needed to promote their physical and mental health. People’s involvement in their assessment and care planning ensured they received a service the way they liked. Staff were kind and friendly and people could be assured their right to privacy and dignity would be respected.

The provider accepted the need for some remedial decoration and plans were in place to start this work. However, we found the environment did not pose a risk to people living in the home. Staff were aware of when people were unhappy and took the appropriate measures to resolve their concerns.

Staff supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives.

Right Care

The provider’s quality monitoring systems were ineffective to ensure safe practices. We found risk management placed people at risk of potential harm. Insufficient staffing levels meant people’s assessed needs were not always met. Infection, prevention and control measures were not robust and placed people at risk of contracting avoidable infections.

At the time of the inspection no one was receiving end of life care and there was no information in place to show this had been discussed with people.

Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

Right culture

The ethos, values, attitudes and behaviours of leaders and staff ensure that people using the service lead inclusive and empowered lives.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

Although, the registered manager was on long term leave. Appropriate arrangements were in place to ensure the management of the home. Both the deputy manager and the regional support manager demonstrated a good understanding of people's needs and had clear direction of planned improvements for the home in the future.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 23 November 2018).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support right care right culture.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated any risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported by enough staff to keep them safe. Staff understood how to recognise and report abuse. Staff were recruited using safe recruitment procedures. People had risk assessments in place that ensured they could safely participate in activities they enjoyed. People’s medicine was administered safely.

People’s health and social care needs were assessed and reviewed on a regular basis. People were supported by staff that had received training relevant to their role. Staff worked well together to help people achieve their agreed outcomes. People had access to drinks and a balanced diet. People had access to relevant healthcare. 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. People lived in a homely environment.

People were treated by staff with kindness and compassion. Staff actively sought people’s views and communication was tailored to suit people’s individual needs. People had the support of an advocate when they lacked capacity to make a decision. Staff respected people’s privacy and made sure their care records were kept secure.

People's care plans were person centred and people accessed activities that matched their interests. Staff could identify when people were upset or concerned and supported them to seek a resolution Staff understood the complaints procedure and what to do if they received a complaint. Due to people being in good health the provider was yet to explore peoples wishes surrounding end of life care

The registered manager had systems in place to monitor the quality of the service being delivered. Staff felt supported by the manager and received supervision. The provider shared information with the team around best practice.

Further information is in the detailed findings below.