Bonsall View

Updated 18 January 2024

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

This inspection was carried out by 1 inspector.

Service and service type

Bonsall View 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. Bonsall View is a care home without 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

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 met 2 people who were using the service on the day of inspection. We spoke with 4 relatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager and care staff. We reviewed a range of records. This included 3 people's care records and multiple medication records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. After the inspection we continued to seek clarification from the provider to validate evidence found. We looked at training data and other records relating to the management of the service.

Updated 18 January 2024

About the service

Bonsall View is a care home providing personal care to 2 people at the time of inspection. The service can provide short break support to up to 7 people.

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

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:

The provider had plans in place to ensure staff would be trained to the required level of specialist support for people with learning disabilities and autism.

Staff understood how people made choices and enabled this to happen day to day.

People were supported to access the different areas of the home which had been designed and set up to meet their personal care, physical, emotional, and sensory needs. There were opportunities for people to choose to take part in a range of activities both inside and outside the home. People had access to safe outdoor space which had been designed to meet their individual needs.

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.

Right Care:

People had been supported at the service now registered as Bonsall View for many years and were cared for by staff who knew them well. Staff understood people's needs and how people preferred to be supported.

People and their family members were involved in planning people’s care. The stable staff team at Bonsall View understood people and were responsive to their needs. The managers at the service implemented a robust pre-admission and feedback procedure to ensure everyone involved in providing care to people were informed and up to date with people’s current support needs. Written care plans did not always contain the most up to date information relating to people's care.

People’s families consistently feedback they were very happy with the service and the staff team and managers at Bonsall View.

Right Culture:

Staff understood the principles of person-centred care and the importance of people's needs and wishes being the focus of everything they did. The staff team understood the principles of positive support and implemented these to ensure people were consistently supported to reduce any feelings of anxiety or distress.

Where records at the service were not immediately available or up to date the provider had not carried out checks to identify or address this as an area of improvement.

Recommendations

We have made a recommendation to the provider about ensuring effective oversight of the service.

For more details, please see the full report which is on the CQC website at https://www.cqc.org.uk/location/1-13316142318

Rating at last inspection

This location was registered with us on 11 July 2022 and this is the first inspection.

The last rating for the service at the previous premises was good, (published 8 November 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only following the move of the service to new premises. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow up

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