CQC report explained · a residential care home
What the CQC found at Bishops Way
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, medicines, staffing, infection control and learning from incidents were managed safely.
- Effective?
- Good
- Care was planned around people's individual needs and choices. Staff were trained, people received support with nutrition and healthcare, and legal safeguards were in place.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions and supported to maintain independence and personal interests.
- Responsive?
- Good
- Care plans were personalised and people were supported with relationships, community activities, communication and complaints. End of life plans were also in place.
- Well-led?
- Good
- The home had positive leadership, regular quality checks and a culture where people and staff could give feedback. This rating improved from Requires Improvement at the previous inspection.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and personalised care, with well-led management improved since the last inspection.
This was a planned inspection on 4 December 2019. One inspector spoke with all three people living at the home, five staff members and reviewed care, medicine, recruitment and management records.
The inspectors found that people were safe, treated with dignity and supported by staff who understood their individual needs, including the effects of Prader Willi Syndrome. People were supported to make choices, build independence, stay connected with family and take part in activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating was Good. The home had also been rated Good overall at the previous inspection, published in April 2017.
Personalised support
Care plans reflected people's routines, preferences and changing needs. People were involved in reviewing their own care.
“Support plans gave staff the information they required to effectively care for people in accordance with their wishes.” from the report
Kind and respectful staff
Inspectors saw warm relationships between people and staff. Staff respected privacy and treated the home as people's own home.
“People were supported by a consistent team of staff who knew them well.” from the report
Support for independence
People were encouraged to make choices, learn skills, help with household tasks and take part in community life.
“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.” from the report
Knowledge of Prader Willi Syndrome
Staff had specific knowledge of the condition and supported people with structured eating plans, healthy choices and weight management.
“People were supported by staff who were skilled at providing nutritional support and guidance to people with PWS.” from the report
Improved leadership
The well-led rating improved to Good after a manager became registered with CQC. Quality checks and feedback systems were in place.
“At this inspection the manager had been registered with CQC since 23 November 2017.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you adapt the current care plan to my relative's routines, preferences and communication needs?
- 02What specific training and experience do staff have in supporting people with Prader Willi Syndrome?
- 03How will you support my relative to manage food, calories and weight while still making choices about eating out and activities?
- 04How will you support my relative to build independence and stay connected with family, friends and the local community?
- 05How are people and relatives involved in reviewing care plans and raising concerns?
This was a planned inspection of the care home covering all five CQC questions; all five ratings were assessed during the visit. This explanation was written from the published report of 17 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2017
Rated Good overall, but well-led was Requires Improvement because there was no registered manager in post.
This was an unannounced comprehensive inspection on 7 March 2017. One inspector spoke with all four people living at the home and five staff. They reviewed care records, medicines, staff files, training, incidents, audits and other management records.
The inspectors found that the home had improved since January 2016. Care plans and risk assessments were more personal and up to date. Medicines were managed safely. Staff understood people's needs, including the needs linked to Prader-Willi Syndrome. People were treated kindly and supported to make choices, stay active and be as independent as possible.
The home was rated Good for safe, effective, caring and responsive care. It was rated Requires Improvement for well-led because there was no registered manager. An acting manager from another service was leading the home, and recruitment for a new manager was under way.
Safer medicines
Medicine records were accurately completed. The home had introduced checks, audits and clear instructions for medicines that were given only when needed.
“We found that these had been accurately completed. As required medicines (PRN) had protocols in place to ensure they were given safely and consistently regardless of who was giving them.” from the report
Kind and respectful support
Staff knew people well, responded calmly and supported privacy, dignity and independence.
“Staff responded positively to people's requests and even when this information needed to be repeated a number of times to enable the person to absorb the information; this was done calmly and with kindness.” from the report
Choice and activities
People were supported to choose activities, attend work placements, pursue interests and work towards personal goals.
“The activities attended by people were varied. This included shopping, walks, swimming, clubs and evening trips to a local pub or meeting with friends and family.” from the report
No registered manager
needs fixingThe home did not have its own registered manager at the inspection. An acting manager from another service was in charge while recruitment continued, which led to the Requires Improvement rating for well-led.
“Since the last inspection the registered manager had left and the home did not have a registered manager in post.” from the report
- 01Who is the registered manager now, and how is the home managed when that person is not present?
- 02How are each person's daily calorie needs, weight and nutrition plan checked and updated?
- 03How are medicine records and audits checked, including medicines given only when needed?
- 04How do people and their families take part in care plan reviews and decisions about restrictions?
- 05How are staffing levels maintained so planned trips and activities are not delayed?
This was an unannounced comprehensive inspection on 7 March 2017 covering all five key questions; the report also compared findings with the previous inspection in January 2016. This explanation was written from the published report of 6 April 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Bishops Way
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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19 live-in carers within about an hour of East Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.