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Inspection Summary


Overall summary & rating

Good

Updated 27 April 2018

The inspection took place on 5 March 2018 and was unannounced. Bonehill Lodge is a care home that provides accommodation with personal care and is registered to accommodate 26 people. The service provides support to older people who may be living with dementia. The accommodation at Bonehill Lodge is on the ground and first floor and there are two lounge areas, a conservatory and a dining room. The home is on the outskirts of Tamworth and has a car park for visitors to use. Public facilities and transport services are within easy reach of the home.

Bonehill Lodge 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. At the time of the inspection there were 24 people using the service.

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 serious 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. However, we found the service had improved their rating to outstanding in Responsive by demonstrating they provided tailored, flexible support that consistently met people’s individual needs and preferences.

People were supported to live full lives and received care that reflected how they wanted to be supported. The staff were motivated and committed to provide people with personalised experiences that exceeded their expectations. The registered manager encouraged staff to be imaginative in the way they provided care which recognised that people were at the heart of their service. Staff worked collaboratively with other professionals to ensure people received care based on best practice. The care planning focused on people’s individual needs and preferences. People were central to deciding how care was planned and staff recognised the elements which were most important to them. The support plans were reviewed when their needs changed to ensure it reflected their wishes. Staff recognised how information needed to be provided to ensure people’s understanding, including the use of information technology to help with communication. People’s diversity was fully recognised and promoted by the staff; people were supported to follow their religious beliefs and to maintain important family relationships. People could raise any concerns or complaints; people were confident their concerns were acted on as the staff and registered manager were approachable listened to what they wanted to say.

People continued to receive safe care. There were enough staff to support people and staff were recruited to ensure that they were safe to work with people. People were protected from the risk of harm and received their prescribed medicines safely. Lessons were learnt from when mistakes happened.

The care that people received continued to be effective. They 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. Staff received training and support to be enable them to care for people well. People were supported to maintain a diet that met their requirements and they received support from health care professionals to ensure their well-being was maintained. Health concerns were monitored to ensure people received specialist health care intervention when this was needed. The environment met people’s needs.

There was a strong management team and people were included in developing the service and found the registered manager approachable. There were processes in place for people to express their views and opinions about the service provided. There were systems in place to monitor the quality of the ser

Inspection areas

Safe

Good

Updated 27 April 2018

The service remains good.

Effective

Good

Updated 27 April 2018

The service remains effective.

Caring

Good

Updated 27 April 2018

The service remains good.

Responsive

Outstanding

Updated 27 April 2018

The service has improved to Outstanding.

Staff continually looked and strived for ways to improve the opportunities people had to engage with each other and to participate in social events. People�s diverse needs were fully recognised and staff supported them to engage in activities that met their individual needs and preferences. People�s care plans focussed on them and their needs and wishes, they were kept under continual review. People were encouraged and supported to raise any concerns about their care and support and were confident these would be addressed.

Well-led

Good

Updated 27 April 2018

The service remains good.