Bournville Grange Limited

Updated 3 April 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Bournville Grange 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 this inspection the service had a manager registered with the Care Quality Commission. 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

Inspection team:

Two inspectors and an expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Notice of inspection:

This inspection took place on 05 March 2019 and was unannounced.

What we did:

Before our inspection visit, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law.

We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services.

We spoke with five people living at Bournville Grange and five relatives. We also spent time in the communal areas observing the care and support people received to understand the experiences of those who were not able to talk with us. In addition, we spoke with the registered manager, the area manager, one housekeeper, four care staff members and the cook.

We reviewed a range of records. This included four people’s care and support plans and medication records. We confirmed the safe recruitment of two staff members and reviewed records relating to the provider's quality monitoring, health and safety and staff training.

Updated 3 April 2019

About the service:

Bournville Grange is registered to provide accommodation and personal care for up to a maximum of 27 people some of who may be living with dementia. At the time of our inspection there were 24 people living at the home.

People’s experience of using this service:

The provider had systems to monitor the quality of the service they provided and to drive improvements where needed. However, these systems needed further embedding into the practice and culture at Bournville Grange. This was because our previous four inspections identified areas which require improvement and we need to be sure any improvements made are sustainable over time. The management were not fully up to date with developments in health and social care. The provider, and management team, had good links with the local community which people benefited from. The provider had systems in place to ensure the Care Quality Commission was notified of significant events in a timely manner and in accordance with their registration.

People received safe care and support as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people. Staff members followed effective infection prevention and control procedures although some areas of the home needed further, more detailed, cleaning.

People received safe support with their medicines by competent staff members. The provider had systems in place to respond to any medicine errors should they occur. The provider completed regular checks to ensure that people were receiving the right medicine at the right time and people’s medicines were stored correctly.

The provider had assessed risks to people associated with their care and support. Staff members were knowledgeable about these risks and knew what to do to minimise the risk of harm to people. The provider had systems in place to respond to any additional risks to people. Staff members were aware of the necessary action they should take in the event of an emergency.

The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision. Staff members were knowledgeable about the relevant legislations that informed their practice and supported the rights of those living at Bournville Grange.

People were promptly referred to additional healthcare services when required. People were supported to maintain a healthy diet and had choice regarding food and drink. The environment where people lived suited their individual needs and preferences and people freely moved around their home.

People received help and support from a kind and compassionate staff team with whom they had positive relationships. People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability. People were supported to retain their independence.

People participated in a range of activities that met their individual choices and preferences and they found interesting and stimulating. People were provided with information in a way that they could understand. The provider had systems in place to encourage and respond to any complaints or compliments from people or visitors.

More information in Detailed Findings below.

Rating at last inspection:

Requires Improvement (Report published 20 February 2018) for the key questions ‘Safe,’ ‘Effective,’ ‘Caring,’ ‘Responsive’ and ‘Well-led.’ At that inspection we found that risks to people had not been properly assessed, People’s experience at mealtimes needed to be improved, people did not consistently receive a caring service, the systems had not ensured effective assessment and care planning for all people and the previous registered manager had left and not cancelled their registration with us.

Why we inspected:

This was a planned inspection based on the rating at the last inspection, ‘Requires Improvement.’ At this inspection we found the service had improved.

Follow up:

We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.