Bayis Shei Limited

Updated 25 August 2022

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. We checked 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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out this inspection.

Service and Service Type

Bayis Shei is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of Inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had about the service since the last inspection. We used this information to plan our inspection.

During the inspection

We spoke with one person who used the service and two relatives. We spoke with five members of staff including the director of care, the registered manager, deputy manager and two care staff.

We reviewed a range of records which included two people’s care records and their risk assessments and four people’s medicine records. We also looked at policies and procedures relating to the management of the service.

After the inspection

We continued to review some records that were sent to us by the provider.

Updated 25 August 2022

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. The provider supports people of Jewish faith. At the time of our inspection there were four people using the service.

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 between the children and the adults for example there is a large room for celebrations used by everyone in the service.

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

People using the service were protected from abuse because staff had a good understanding of safeguarding, and training was provided. People we spoke with were happy with the support they received, one person stated, “The staff are great here, they listen to me.” We spoke to one relative who told us their relative was safe in the home. Staff were recruited safely, and people received care in line with their assessed needs. Medicines were managed safely. Care records contained risk assessments with clear guidance for staff to follow. The premises were clean and well maintained.

We observed staff engaging with people in a respectful manner. Staff used different methods of communication when speaking to people. Staff were patient and explained things to people clearly. One relative told us “They [staff] really know my [relative] I trust them [staff] with their care.” Care records reviewed were written in a person-centred way. People’s likes, dislikes and preferences were recorded in their care records.

The registered manager had a clear vision for the service. The provider completed a range of audits to monitor the quality of care being delivered in the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service was able to demonstrate how they were meeting the underpinning principle of right support, right care and right culture.

Right Support: Model of Care and setting that maximises people’s choice, control and independence

¿Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests.

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.

Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights

¿People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

¿People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

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

The last rating for the service was requires improvement (published 25 March 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to the management of medicines and good governance. As a result, we undertook a focused inspection to review the key questions of caring, safe and well-led only.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.