- Care home
Honeybourne House
Report from 31 January 2024 assessment
Contents
Ratings
Our view of the service
We undertook an assessment of Honeybourne House between 5 February 2024 and 8 March 2024. We visited the service on the 5, 7, and 20 February 2024. Honeybourne House provides residential and nursing care for a maximum of 21 people with a learning disability and associated conditions. The service is divided into two parts; a purpose-built nursing unit known as The Bungalow, and the residential service referred to by people as, The House. At the time of the inspection 8 people were being supported in the Bungalow and 9 people in the House. We looked at 11 quality statements; Safeguarding, Involving people to manage risks, Safe and effective staffing, Medicines, Safe environments, Learning culture, Consent to care and treatment, Shared direction and culture, Capable compassionate and inclusive leaders, Partnership and communities and Governance, management, and sustainability. We found 7 breaches of the legal regulations in relation to safeguarding, safe care and treatment, need for consent, person centred care, staffing, premises and equipment, and governance. We have asked the provider for an action plan in response to the concerns found at this assessment. We identified some concerns regarding the environment and asked the provider to take action to address some of those concerns. The service was not able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture, and best practice guidance. This meant people were at risk of not receiving the care and support that promoted their wellbeing and protected them from harm. The manager was not able to provide assurance, that there were sufficient staff on duty to meet people’s assessed needs. Governance systems and audits were in place however, more work was needed to ensure they provided an accurate view of service and drove improvements in a timely way.
People's experience of this 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. Right Support: People and their relatives told us people were safe and supported by skilled staff who knew them well. However, we found people were not always supported to have maximum choice and control of their lives and staff were not supporting people in the least restrictive way possible and in their best interests. People were not involved in a meaningful way in the development of their care and support and information was not always provided in a way which met people's individual communication needs. Right Care: People and their relatives told us they had confidence in the staff and the care they provided. Care records contained information regarding risks and provided guidance for staff on how to support people to minimise those risks. People were mostly supported and spoken about in a respectful and dignified way. We saw lots of laughs and good humour being displayed between people and the staff supporting them. However, we saw some interactions which were not person centred. Right Culture: People were mostly treated with kindness and respect and supported by staff who knew them well and had a good understanding of their individual needs. However, we found the culture of the service did not always reflect best practice guidance. Whilst staff understood the providers ethos and values, these were not fully embedded into staff practice. There were low expectations for people, a lack of purposefulness to people's day and people’s opinions were not always valued nor were they empowered to speak up.