Bonhomie Sarisbury Green

Updated 4 December 2023

Bonhomie Sarisbury Green is a care home without nursing. Its specialisms include support for those with sensory impairments, learning disabilities, physical disabilities, acquired brain injuries and those experiencing mental health conditions and / or other complex needs. The service aims to support people to re-develop their independence and skills, so that they can move on to more independent living settings. We carried out our on-site assessment activity on the 12 and 14 December 2023. We assessed 12 quality statements. The registered manager and provider had failed to adequately assess and monitor the safety and quality of care being provided. Insufficient improvements had been made following our last inspection to ensure medicines were safely managed and risks to people were adequately assessed and planned for. New concerns were identified with how the service managed incidents affecting people’s safety. At our last inspection, we recommended improvements be made with regards to how legal frameworks for consent were being implemented. These improvements had not been made. The service was not able to demonstrate how they were meeting some of the principles of Right support, right care, right culture. For example, there was insufficient evidence of planning and consideration of people's preferences and longer-term aspirations. Improvements were needed to ensure people were at all times treated in a dignified and respectful manner. The provider was not always promoting safety through the hygiene and maintenance of the premises, this had been a concern when we last inspected the service. Improvements were needed to ensure the service appropriately escalated safeguarding concerns to all of the relevant agencies. People were empowered to share their views and provide feedback, however, the processes in place demonstrating how these were acted upon needed to be more robust. The service had enough staff who had overall received appropriate training.

Updated 4 December 2023

People mostly told us they felt safe and knew how to raise concerns. They told us staffing levels helped to ensure they received care that met their needs and promoted good health. People told us the premises were kept clean and hygienic and their medicines appropriately administered. People told us their needs had been assessed and understood and the support being provided met these needs. For example, 1 person said, “Once the staff have built a therapeutic relationship with me the staff do well… The service meets my needs the whole set up works very well for me.” People confirmed their wishes and choices were respected with 1 saying, “If I refused consent, this would be respected.” People told us they were supported to direct their care and support. For example, 1 person told us how they were able to self-identify when they felt they needed ‘when required’ or ‘PRN’, medicines. They told us, “If I ask for PRN this is given to me when required.” People felt involved in care planning and valued their key worker meetings. Feedback from relatives was less positive with some raising concerns about a lack of involvement in planning their relatives care and in reviews of the placement. We also received mixed feedback from relatives about how effectively the service supported their family member to access activities and promote independence with 1 family member saying, “There appears to be no progress and no structure within the facility.”