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Bayis Shei Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 March 2020

About the service

Bayis Shei is a care home providing personal care to young people with needs related to learning disabilities and autism in a purpose-built building. The service can support up to six people and had been in operation since June 2019. There were three people living at the service at the time of the inspection.

The service was developing the design of the building to be in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The service occupied the second floor of a purpose-built building. The other floors were occupied by a home for children. Some of the communal areas were shared. The service had an identifying sign at the front gate indicating it was a care home which is not in line with best practice, but the provider had begun to include more homely features at the service.

People’s experience of using this service and what we found

There were enough care staff to meet people’s needs and some staff had been recruited from the children’s service located on the ground floor of the building and knew people well. The recruitment process complied with safe recruitment procedures to check staff were safe to work in the caring profession. People’s dignity was not always promoted. We have made a recommendation about treating people with dignity and respect.

The provider did not demonstrate they always promoted good quality care through effective quality monitoring and the provider told us the deputy manager position was vacant since the service was registered. Medicines were not always managed safely.

Notwithstanding the above, people’s relatives told us the service was safe. Staff knew and understood how to safeguard people from abuse. The provider had identified where people faced risks to their health and wellbeing and had developed plans to help protect them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to eat and drink enough in line with their dietary requirements and religious observance. People had access to healthcare services to receive ongoing healthcare support. People were supported to do different activities they were interested in.

In most instances, staff developed caring relationships with people using the service and supported people to express their views. The service supported people with their religious and cultural needs and promoted their independence. There was an open culture at the service and relatives spoke highly of the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 13 February 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on our inspection programme.

Enforcement

We have identified breaches of regulations in relation to good governance and medicines management.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 26 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 26 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 March 2020

The service was not always well-led.

Details are in our well-Led findings below.