Bixley Road Scheme

Updated 9 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection was carried out by one inspector on 10 November 2017 and was announced. The provider was given 24 hours’ notice of the inspection because we needed to know that someone would be available in the service.

Before our inspection the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service: what the service does well and improvements they plan to make. We looked at information we held about the service including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders for example the local authority and members of the public.

Prior to our inspection, we received completed questionnaires from all four people who used the service, one relative and five care workers. These questionnaires provided their views of the service provided. We also received feedback from a health professional.

We visited people in their home and met three people who used the service. We spoke with two people and one person’s relative. We observed the interactions between staff and people. We spoke with the registered manager and three care workers.

We reviewed the care records of two people who used the service and records relating to the management of the service, including care worker training, two recruitment files and quality assurance records.

Updated 9 December 2017

Sue Ryder - Bixley provides a personal care service for people living in a supported living setting. At the time of our announced comprehensive inspection of 10 November 2017 there were four people living with neurological conditions and physical disabilities using this service. The provider was given 24 hours’ notice of the inspection because we needed to know that staff and people would be available.

At the last inspection of 28 October 2015 the service was rated Good. At this inspection, we found the service remained Good.

There was a registered manager in post. 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.

The service continued to provide a safe service to people. This included systems in place intended to minimise the risks to people, including from abuse, infection control, and with their medicines. Care workers were available when people needed care and support and the recruitment of care workers was done safely.

People were supported by care workers who were trained and supported to meet their needs. 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. Systems were in place to assess and meet people’s dietary and health needs, where required. The service worked with other organisations involved in people’s care to provide a consistent service.

Care workers had good relationships with people who used the service. People’s rights to privacy and independence were promoted and respected.

People were involved in making decisions about their care and support. People received care and support which was assessed, planned and delivered to meet their specific needs.

The service had a quality assurance system and shortfalls were identified and addressed. A complaints procedure was in place. The service used comments from people and incidents in the service to learn and use this learning to drive improvement. As a result, the quality of the service continued to improve.

Further information is in the detailed findings below.