Bleak House

Updated 24 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

This focused inspection took place on 26 April 2018, was unannounced and completed by one adult social care inspector.

Prior to the inspection we contacted the local authority commissioning and safeguarding teams to gain their views on the service. We also looked at notifications about significant events that the provider was required by law to inform us about. The provider had completed a Provider Information Return (PIR). This is a document that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to help us plan our inspection.

We spoke with eight people during the inspection. We interviewed the registered manager and two care staff. We also spoke with a visiting healthcare professional. We looked at documents relating to the running of the service including audits, satisfaction questionnaires and staff meetings and supervision.

Updated 24 May 2018

Bleak House 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. The service is situated in Patrington, in the East Riding of Yorkshire and provides care for up to 19 people with learning disabilities and/or mental health conditions. At the time of the inspection the home was fully occupied.

The service was operated in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

The home had a new manager in post who had registered with the Care Quality Commission in February 2018. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We carried out an unannounced comprehensive inspection of Bleak House on 22 June 2017. A breach of Regulation 20A, requirement as to display of performance assessments, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, was found.

We undertook this focused inspection on 26 April 2018 to check that the service was now meeting legal requirements. The service was inspected against one of the five questions we ask about services: is the service well led. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for 'Bleak House' on our website at www.cqc.org.uk.”

People were supported by a staff team who understood the aims of the service and were motivated to support people according to their choices and preferences.

The registered manager was approachable and the atmosphere in the service was relaxed and inviting.

The leadership and management of the service was of a good standard. It was clear from our discussions with the registered manager that they understood their registration responsibilities with regards to submission of statutory notifications about significant events that occurred at the service.

Staff and people spoke positively about the management at the service.

Quality assurance and monitoring systems were in place which included seeking the views of people who used the service. The registered manager routinely gathered feedback from people living in the service.

The registered manager and staff worked in close partnership with external health and social professionals.