Bon Secours

The premises looked clean and tidy and had controls in place to minimise the risks posed by COVID-19. However, the provider was sharing some staff between two locations run by the same registered manager and operated by the same provider. This was contrary to current guidance and following the inspection the provider was told to stop this practice.

People received care and support personalised to their individual needs and suited to their communication preferences. Risks had been identified and care plans mostly provided guidance how to minimise risk. When pointed out to them, the registered manager gathered more information for people who may be at risk of epileptic episodes. Staff had received training about how to meet people's needs and how to identify areas of concern.

The registered manager had identified outstanding notifications of events which should have been sent to CQC, when they had occurred. These were retrospectively submitted to us before this inspection. However, this had not permitted our oversight of events at the service as and when they occurred; without notification, CQC would not have known to take action if required. This demonstrated a lack of effective oversight and systems within the service.

Medicines were stored and managed safely; people received their medicines as prescribed. Guidance set out when 'as and when needed' (PRN) medicines should be given. However, administration of some PRN medicine was not always recorded in line with the protocol relating to it. The registered manager reviewed and revised this process immediately following the inspection.

Staff told us how they would recognise signs of abuse and the actions needed if abuse was suspected. There were enough staff to provide safe care. Safe recruitment checks were completed to ensure staff were suitable to work with people.

The registered manager had a clear vision for the service and had developed an action plan for ways to improve the service.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

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's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Right support: • The model of care and setting maximised people's choice, control and Independence.

Right care: • Care was person-centred and promoted people's dignity, privacy and human Rights.

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services could lead confident, inclusive and empowered lives.