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CQC report explained · a residential care home

What the CQC found at Bourne Bridge House

Goodpublished 26 October 2017, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed through visitor restrictions, social distancing, PPE, testing, cleaning and updated infection control policies.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, September 2020

Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 inspection.

Inspectors visited the home on 28 August 2020. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.

They found that visitors were restricted to essential visits, with face masks and hygiene measures required. People were supported to keep a safe distance, use outdoor spaces, continue activities and go out safely.

Inspectors were assured that staff used personal protective equipment correctly, testing was available and cleaning schedules were followed. The home had also received advice and training from an NHS infection control professional.

The service was inspected but not rated. This was not a full inspection of the quality of care, so the report does not give ratings for Effective, Caring, Responsive or Well-led.

What inspectors praised
  • Infection control checks

    Inspectors were assured that the home had arrangements to prevent and manage infection, including testing, PPE and cleaning.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Cleaning arrangements

    Each accommodation area had its own cleaning schedules and logs, and records showed that cleaning was completed as required.

    “Records provided evidence that thorough cleaning schedules had been completed at the intervals laid down by the provider.” from the report
  • Support for activities

    People could use the garden, follow their interests and go on outings while being supported to keep a safe distance.

    “People were able to access the garden easily and safely.” from the report
  • Staff training

    Staff received training on infection control and PPE, with checks to identify whether more support was needed.

    “Staff had received training and information on the safe use of PPE.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How many staff are currently in post, and have the planned increases in evening staffing been completed?
  2. 02What are the current rules for relatives and friends visiting the home?
  3. 03How are residents currently supported to go on outings and maintain contact with people outside the home?
  4. 04How often are staff tested for COVID-19, and what happens if a resident or staff member has symptoms?
  5. 05Can we see how cleaning schedules, cleaning logs and PPE training are monitored now?

This was an announced targeted inspection of infection prevention and control only; the service was inspected but not rated and the other four quality questions were not assessed. This explanation was written from the published report of 26 September 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.

An earlier report, explained

What inspectors found, October 2017

Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.

This was an unannounced comprehensive inspection over 25 and 29 August 2017. Inspectors observed care, spoke with people, staff, a relative and health professionals, and checked care, medicine, staff and management records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough safely recruited staff, safe medicines procedures, suitable care plans and staff who understood people's communication and support needs.

People appeared relaxed and happy with staff. They were supported with health care, food and drinks, activities, family contact and greater independence. The home had improved its care records since the previous inspection, when it had breached Regulation 12 because some risk assessments and care plans were not up to date.

What inspectors praised
  • Personalised care records

    Care plans included people's histories, preferences, communication methods and support needs. Inspectors found that records had improved and were regularly reviewed.

    “Care plans described how staff should support people to meet their needs.” from the report
  • Kind and compassionate staff

    Staff understood people well and supported them with family contact, bereavement and important events. People were seen laughing, chatting and appearing relaxed with staff.

    “Staff were very caring and showed compassion and kindness to people.” from the report
  • Support for independence

    People were encouraged to make choices, take part in activities and develop everyday skills. The home also adapted spaces to provide privacy and more independence.

    “Care plans focussed on how to support people to be as independent as possible.” from the report
  • Safe staffing and medicines

    There were enough staff, including staff who knew people well when extra cover was needed. Medicines were administered by trained staff and records were complete.

    “Medicines were managed and administered safely.” from the report
What inspectors were concerned about
  • Planned improvements to living spaces

    minor

    Further work was planned to support a person's changing health and mobility. One person's bedroom was also due to be refurbished after family concerns.

    “Further work was being planned to support changes to another person's current living space.” from the report
Questions to ask them, based on this report
  1. 01What further work to support changing health and mobility has now been completed?
  2. 02Has the bedroom raised by a family been refurbished, and what changes were made?
  3. 03How often will my relative's risk assessments and care plan be reviewed if their needs change?
  4. 04How will staff communicate with my relative if they do not communicate verbally?
  5. 05How will my relative be supported to keep in contact with family and take part in activities outside the home?

This was a comprehensive inspection covering all five areas of quality and included observations, discussions and checks of selected care, medicine, staff and management records. This explanation was written from the published report of 26 October 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.

The story over the years

Every inspection of Bourne Bridge House

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. September 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Bourne Bridge House →

  2. October 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bourne Bridge House →

  3. October 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 15 December 2010.

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.

Next steps

Weigh the report against the rest

Care at home

17 live-in carers within about an hour of Devon

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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

“She is such a warm and gentle person while being professional and competent at the same time.”
Martin B., about Love B.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
Holly C., about Dace L.
See live-in carers near DevonProfiles, rates and reviews are free to look at.

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.