Background to this inspection
Updated
6 July 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. 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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Borradaile is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 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
We gave the service 48 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with one person who lived at the home about their experience of the care provided and observed their interactions with staff. We spoke with three members of support staff, the operations manager, registered manager, human resource staff and maintenance staff.
We reviewed a range of records. This included three people’s care records and two people’s medication records. We looked at two staff files in relation to recruitment and training. 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 quality assurance records. We spoke with a relative of a learner who lives at the home and one health and social care professional who supported a learner living at the service.
Updated
6 July 2019
About the service
Borradaile is a residential home providing accommodation and care to eight young adults who attend St John's School and College. Borradaile is based in Brighton on the college campus. There were eight young men living at the home at the time of the inspection. The young men living at the home are referred to as learners by the provider and within this report. Learners can live at the home for their three years at the college, 38 weeks a year, during term time.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were protected from the risk of harm. Risks to people were assessed and reduced and staff supported people to take positive risks to improve their independence. Medicines were managed safely, and the home was clean and hygienic.
People were supported to eat a balanced diet and had access to health professionals as required. Staff received training specifically related to people’s 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.
People received support from a staff team who were kind and caring. A relative told us, “The staff are kind and caring, they look after him and support him to do the things he likes." People’s choices were listened to and supported, and their views were sought by staff. People’s independence was promoted, and they were given opportunity to develop their skills. People’s privacy and dignity was respected.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People were involved in the planning of their care and support. Their care plans were individualised and reflective of their needs and preferences. People had access to a range of activities and the home had strong links with the local community.
The home was well managed. Staff spoke highly of the management and support they received. One member of staff told us, “The senior staff are outstanding and have given me good guidance and direction.” There were quality assurance and monitoring systems in place to support the people to receive high quality care. People and staff were engaged in the running of the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (The report was published on 26 July 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.