We carried out a review of the data available to us about Bayis Shei Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bayis Shei Limited, you can give feedback on this 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.
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.