CQC report explained · a nursing home
What the CQC found at Bourne House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective systems for safeguarding people and managing risks. Medicines records were complete, and the report says earlier medicines errors had been addressed.
- Effective?
- Good
- People's needs were assessed and care was developed with health and social care specialists where needed. Staff had appropriate training and people were supported with food, drinks and healthcare.
- Caring?
- Good
- People and relatives were positive about staff's kindness. Inspectors saw staff treating people respectfully, responding promptly and supporting privacy, dignity and independence.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. People were supported with communication, activities, family contact, complaints and decisions about end of life care.
- Well-led?
- Good
- The home had systems for checking care, medicines, staff records and service quality. Feedback, incidents and checks were used to plan improvements.
What inspectors found, October 2022
Bourne House was rated Good; inspectors found safe, kind and personalised care, with past medicines errors addressed.
This was an unannounced inspection on 21 and 26 September 2022. Inspectors spoke with people, relatives, staff and a social care professional. They reviewed care records, medicines records, staff checks and training, and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable staff training, good infection control, safe medicines support and effective systems for managing risks.
People were treated kindly and respectfully. Care plans reflected people's needs and preferences. People were supported with healthcare, activities, communication, family contact and end of life planning. The report also says earlier medicines errors had been addressed, with no errors in the two months before the inspection.
Risk management
Risk assessments were in place and updated when people's needs changed. They aimed to keep people safe while supporting independence.
“Risk assessments and management plans had been reviewed and updated as people's needs changed.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff responding promptly and not rushing people.
“We observed staff interacting with people in a friendly and respectful way. Staff responded promptly to requests for assistance and did not rush people.” from the report
Personalised support
Care plans included people's life histories, preferences and what mattered to them. Staff understood these details and used them in daily support.
“People had been supported to develop care plans specific to them. Plans included information about people's life history and what was important to them.” from the report
Activities and relationships
People could join group and individual activities and were supported to keep in contact with family and friends.
“People were supported to take part in a range of group and individual activities.” from the report
Earlier medicines errors
needs fixingThe report says medicines errors had occurred before the inspection. Action had been taken and there had been no errors in the previous two months, but families may want to ask how this improvement is being maintained.
“Action had been taken to address medicines errors in the service.” from the report
- 01What caused the medicines errors mentioned in the report, and what checks are now in place to prevent them happening again?
- 02How often are temporary agency staff used now, and how are they introduced to my relative's needs and care plan?
- 03How would you support my relative's particular communication needs, including any use of pictures or written information?
- 04What activities would be suitable for my relative, and how do you use residents' feedback to plan them?
- 05How would my relative and our family be involved in reviewing the care plan and making decisions about future or end of life care?
This was an unannounced first inspection of the whole home, covering all five CQC questions and infection prevention and control. This explanation was written from the published report of 15 October 2022 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 Bourne House
5 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- October 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- April 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2019
Registered with the Care Quality Commission on 22 August 2019.
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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What to check when you visit
At least 100 live-in carers within about two hours of Wiltshire
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 £1,340 a week. 82 can care for a couple. 12 years' experience on average.
“Linet became her carer and all changed, my daughter started eating, taking her medications and more important her happiness came back.”
“I cannot recommend Prisca highly enough, she is one in a million.”
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.