Background to this inspection
Updated
8 June 2019
The inspection.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team.
One inspector carried out the inspection.
Service and service type.
Prince Bishop Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection.
This inspection was unannounced.
Inspection activity started on 22 May 2019 and ended on 3 June 2019. We visited the service on 22 May 2019 and made telephone calls to professionals and relatives on 23 May 2019 and 3 June 2019.
What we did before the inspection.
We reviewed information we had received about the service from the provider since the last inspection, such as serious injuries. We sought feedback from the local authority and professionals who work with the service.
We sought feedback from Healthwatch about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
Updated
8 June 2019
About the service.
Prince Bishop Court is a care home for up to 15 people who are living with learning disabilities.
The service is provided from two adjacent properties. The larger of the properties was separated into two smaller homes, the second property was a smaller, separate terraced house. Both properties are within proximity of each other and situated in a residential area.
The service is registered for the support of up to 15 people. At the time of the inspection 12 people were using the service. The larger property is bigger than most domestic style properties and provided support for ten people within the two separate homes.
The size of the service having a negative impact on people was mitigated by the building design promoting current best practice guidance promoting people living in small domestic style properties to enable them to have the opportunity of living life to the full.
The design of the properties fitted into the residential area where there were other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service.
People were observed to be happy and told us they liked the care and support they received from the provider.
The registered manager ensured people received a safe service with systems and processes in place which helped to minimise risks. Staff effectively reported any safeguarding matters. All incidents were critically analysed, lessons were learnt and used to improve practice.
Medicines systems were organised and people were receiving their medicines when they should. The provider was following national guidance for the receipt, storage, administration and disposal of medicines.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
The outcomes for people using the service reflected the principles and values of Registering the Right Support. For example, people’s support focused on them having choice and control over the care and support they received and as many opportunities as possible to become more independent.
Staff treated people as individuals and respected their privacy and lifestyle choices.
Staff were skilled and knowledgeable in the care and support people required. They provided flexible care and support in line with people's needs and wishes. The staff team was consistent with some staff working at the service for many years.
People, their relatives and health and social care professionals were actively involved in decisions being made about the care people received.
The provider and registered manager monitored quality, acted quickly when change was required, sought people's views and planned ongoing improvements to the services. Relatives told us if they were worried about anything they would be comfortable to talk with a member of staff.
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.
At the last inspection the service was rated requires improvement (published 14 June 2018).
Previous breaches.
Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider is no longer in breach of regulations.
Why we inspected.
This was a planned inspection based on the previous rating.
Follow up.
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.