About the service:

Numbers 8, 10 and 11 Bedes Close provides accommodation for a maximum of 18 people who are living with a learning disability and who require nursing and personal care. All the accommodation is in single rooms and the service is in the residential area of Thornton, close to Bradford City Centre. The service is split between three, six bedroomed bungalows. At the time of our inspection, there were 15 people living at the service.

People’s experience of using this service:

People’s relatives told us staff were caring, helpful, attentive and caring. We saw people were treated with dignity, respect and compassion. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s healthcare needs were being met and medicines were being stored and managed safely.

Staff knew about people’s dietary needs and preferences. Menus we saw showed people had a good choice of meals and we saw people enjoying their meal. There were plenty of drinks and snacks available for people in between meals.

Activities were on offer to keep people occupied both on a group and individual basis. Visitors were made to feel welcome by staff.

The homes were clean and tidy, but in need of refurbishment in some areas. A plan was in place to address this.

Staff were being recruited safely and there were enough staff to take care of people and to keep the home clean. Staff were receiving appropriate training. Staff were supported by the registered manager and were receiving formal supervision where they could discuss their ongoing development needs.

Care plans were up to date and detailed what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate identified risks. People felt safe at the home and appropriate referrals were being made to the safeguarding team when this had been necessary.

There was a complaints procedure and families spoken with told us they knew how to complain.

Everyone spoke highly of the registered manager who they said was approachable and supportive. The provider had effective systems in place to monitor the quality of care provided and where issues were identified, they acted to make improvements.

Rating at last inspection:

At the last inspection we found the service required improvement (report published February 2018)

Why we inspected:

This was a planned inspection by the CQC to find out if the service had improved. At our last inspection on 6 and 13 December 2017, we found the service required improvement in safe, responsive and well-led domains. This was in breach of Regulation 17 good governance.

At this inspection we found improvements had been made and we now rate the service overall as good.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Our inspection of Bedes Close took place on 6 and 13 December 2017 and was unannounced. This was the first inspection of this service since it was taken over by Turning Point. Numbers 8, 10 and 11 Bedes Close provides accommodation for a maximum of 18 people who are living with a learning disability and who require nursing and personal care. All the accommodation is in single rooms and the service is located in the residential area of Thornton, close to Bradford City Centre. The Service is split between three, six bedroomed bungalows. At the time of our inspection, there were 16 people living at the service.

The care service has been developed and designed in line with the values that underline the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

A new manager had commenced employment at the service approximately four months before the inspection. The manager was going through the Care Quality Commission (CQC) registration process. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We saw there were enough staff to meet people’s needs and this was confirmed in our discussions with people who used the service, staff and relatives.

Safe recruitment processes helped to ensure staff were suitable to work in the care service. Staff received the training and support they required to carry out their roles and meet people’s needs.

Medicines were managed safely and people received their medicines when they needed them. We saw a system was in place to log and investigate safeguarding concerns and where appropriate, ensure action was taken to improve the safety of the service. Staff understood safeguarding procedures and how to report concerns. Staff were confident management would act on any concerns yet also felt supported to follow whistleblowing procedures if necessary.

The service was working in line with the requirements of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) which helped to make sure people’s rights were protected and promoted. People’s rights to choose and make decisions were supported in accordance with good practice and legislation. Staff asked people’s consent before any care or support was given.

The manager acknowledged more work was required to ensure care records were kept up to date and accurately reflected peoples changing needs. Accidents and incidents were analysed by the home’s manager and lessons learnt shared with staff. .

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way. The policies and systems in place supported this practice. Staff organised a range of activities and events both in the home and the local community,

The premises were warm and homely and suitable for the intended purpose. People were able to personalise their rooms.

Staff supported people to access healthcare services and support was delivered to meet their needs and preferences. There were systems in place to manage complaints.

We saw the quality, quantity and choice of food was good and people appeared to enjoy their meals.

We observed staff to be kind and caring during the inspection. Staff clearly knew people well and took every opportunity to engage with them.

We did not find adequately robust governance systems in place. We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we asked the provider to take at the back of the full version of the report.