Background to this inspection
Updated
27 April 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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of one adult social care inspector and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. This expert had experience with people living with a learning disability.
Service and service type:
Numbers 8, 10 and 11 Bedes Close provides accommodation for a maximum of 18 people. This service provides care and support to people who are living with a learning disability and who require nursing and personal care. Care Quality Commission (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 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:
The inspection was unannounced. This meant the service did not know we were coming.
What we did:
We reviewed information we had received about the service since the last inspection in December 2017. This included details about incidents the provider must notify us about. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
Some people using the service at Bedes Close were not all able to fully share with us their experiences of using the service. Therefore, we spent time observing staff with people in communal areas. We spoke with three relatives, a business transformation partner, an area manager, two team leaders and four care workers. The registered manager was on annual leave at the time of the inspection.
We reviewed a range of records. These included three people’s care records and medication records. We looked at three staff files, covering staff recruitment and their training records. We reviewed records relating to the management of the service and a variety of audits implemented by the provider.
Updated
27 April 2019
About the service:
Numbers 8, 10 and 11 Bedes Close provides accommodation for a maximum of 18 people who are living with a learning disability and who require nursing and personal care. All the accommodation is in single rooms and the service is in the residential area of Thornton, close to Bradford City Centre. The service is split between three, six bedroomed bungalows. At the time of our inspection, there were 15 people living at the service.
People’s experience of using this service:
People’s relatives told us staff were caring, helpful, attentive and caring. We saw people were treated with dignity, respect and compassion. 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’s healthcare needs were being met and medicines were being stored and managed safely.
Staff knew about people’s dietary needs and preferences. Menus we saw showed people had a good choice of meals and we saw people enjoying their meal. There were plenty of drinks and snacks available for people in between meals.
Activities were on offer to keep people occupied both on a group and individual basis. Visitors were made to feel welcome by staff.
The homes were clean and tidy, but in need of refurbishment in some areas. A plan was in place to address this.
Staff were being recruited safely and there were enough staff to take care of people and to keep the home clean. Staff were receiving appropriate training. Staff were supported by the registered manager and were receiving formal supervision where they could discuss their ongoing development needs.
Care plans were up to date and detailed what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate identified risks. People felt safe at the home and appropriate referrals were being made to the safeguarding team when this had been necessary.
There was a complaints procedure and families spoken with told us they knew how to complain.
Everyone spoke highly of the registered manager who they said was approachable and supportive. The provider had effective systems in place to monitor the quality of care provided and where issues were identified, they acted to make improvements.
Rating at last inspection:
At the last inspection we found the service required improvement (report published February 2018)
Why we inspected:
This was a planned inspection by the CQC to find out if the service had improved. At our last inspection on 6 and 13 December 2017, we found the service required improvement in safe, responsive and well-led domains. This was in breach of Regulation 17 good governance.
At this inspection we found improvements had been made and we now rate the service overall as good.
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.