Background to this inspection
Updated
2 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of two adult social care inspectors and an expert by experience with knowledge of this type of service.
Service and service type: Bonaer Care Home is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at on 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.
Notice of inspection: This inspection was unannounced.
What we did: We reviewed all information we had received about the service since the last inspection. This included, previous inspection reports and details of incidents that the provider had notified us about.
During the inspection we spoke with seven people and three relatives to ask about their experience of the care provided. We observed how staff provided care throughout the inspection including during the mid-day meal. We also spoke with five staff, the registered manager, the provider and a visiting health professional about the service’s performance.
We reviewed a range of records. This included four people's care records and a selection of medicine records. We also looked at three staff files around staff recruitment. Various records in relation to training and supervision of staff, records relating to the management of the home and the service’s policies and procedures.
Updated
2 April 2019
About the service: Bonaer Care Home is registered to provide nursing care and was supporting 27 people on the day of our inspection.
People’s experience of using this service:
People were relaxed and comfortable at Bonaer Care Home and relatives were complimentary of the care provided. Staff were attentive and provided support at a relaxed pace.
People told us they felt safe in the service and staff had a detailed understanding of their role in protecting people from all forms of abuse or discrimination. Risks in relation to choking and pressure area care were managed appropriately.
Staff were recruited safely and there were enough staff available to meet people’s needs. Both care and domestic staff responded immediately to people’s requests for support and care was provided compassionately at a relaxed pace. Induction training for new staff was provided in line with national recommendations and updated regularly.
Care plans were informative and included information about people’s backgrounds to help staff understand their individual needs. The service employed an activities coordinator and an Occupational therapist and there was a varied programme of group and individualised activities available for people to participate in if they wished.
The service was well-led. The well-established staff team were highly motivated and told us the registered manager was supportive and compassionate. Action had been taken to address and resolve issues identified during our previous inspection and there were appropriate quality assurance systems in place.
At our previous inspection the service was rated Requires Improvement. (Report published 20 March 2018)
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned based on the rating. If we receive any concerns we may bring our inspection forward.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk