Bon Accord

Updated 5 July 2023

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

The inspection team consisted of 2 inspectors.

Service and service type

Bon Accord is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bon Accord is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service. We sought and received feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people and 1 relative to gain their views on the care provided. We observed staff supporting people and spoke with 6 staff members including the registered manager, a nurse, 3 care workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at care plans, staff records and other records relating to the management of the service.

After the inspection we contacted 3 relatives to gain their views and the registered manager sent us information we had requested about training, risk management and notes of meetings.

Updated 5 July 2023

About the service

Bon Accord is a residential care home providing personal and nursing care to up to 41 people. The service provides support to older people, people with dementia or mental health problems, younger adults with physical disabilities and people with sensory loss. At the time of our inspection there were 27 people using the service. The care home accommodates people in one adapted building.

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

Management systems for monitoring the quality of the service were inconsistent and some shortfalls including in record keeping had not been identified. Following the inspection, the registered manager confirmed actions they had taken to address these issues.

People spoke highly of the staff who they described as kind and caring. One person said, “They (staff) are all absolutely lovely.” Staff had developed positive relationships with people. They knew them well and understood their needs and preferences. A relative told us, “The staff know exactly how to support people, they are well trained and know what they are doing.” There were enough staff to care for people safely and they had received the training and support they needed.

Staff understood their responsibilities with regard to safeguarding people from abuse. Risks to people were assessed and managed, and people were protected by the prevention and control of infection. Medicines were managed safely. There were effective systems for monitoring incidents and accidents, and for monitoring complaints. This supported staff to learn and make improvements when things went wrong.

People told us they enjoyed the food, and they were receiving the support they needed with food and drink. People had access to the health care services they needed, and staff followed advice from health care professionals. Staff supported people to plan for care at the end of their life. 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.

Care was provided in a personalised way. People were supported with activities and had opportunities to go out into the community and maintain contact with people who were important to them.

People, their relatives and staff spoke highly of the registered manager. One person said, “They are lovely, always popping in to see me.” A relative said, “They are very approachable.”

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 3 May 2022 and this is the first inspection. The last rating for the service under the previous provider was good, published on 19 January 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

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