Bannigans

Updated 24 January 2024

Inspection team

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors, one of whom is a senior specialist for People with a learning disability and autistic people, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bannigans is a ‘care home’ without nursing care. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We visited the service location on 15 and 30 November 2023. We spoke with 4 people who used the service and 2 relatives about their experience of the care provided. We spoke with 5 members of staff including the area manager, registered manager, deputy manager and 2 care staff.

We reviewed a range of records. This included 4 peoples care records, multiple medicine records, audits, accident and incident records and 2 staff recruitment files.

Updated 24 January 2024

About the service

Bannigans is a residential care home providing accommodation and personal care for up to 4 people with Prader Willi syndrome, learning disabilities and/or autism. At the time of the inspection 4 people were receiving support. The property is a large detached two storey building with individual bedrooms and communal living areas with a small garden to the rear of the property. The service offers 24-hour support.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not always able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture".

Right Support

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. The policies and systems in the service did not support this practice.

Support plans required more information for staff to understand how to support people to mitigate risks. People’s plans were person-centred and reflected people’s views and wishes.

People received their medicines safely and had access to appropriate health and social care support.

People were supported to maintain meaningful relationships with people who mattered to them.

Right Care

People’s care, treatment and support plans reflected most of their needs and this promoted their wellbeing and enjoyment of life. Improvements were being made to incorporate all areas of people’s lives.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service deployed appropriately skilled staff to meet people’s needs and keep them safe.

Right Culture

Systems to monitor the quality of the service required improvement to ensure audits were effective and actions were completed in a timely way.

The values and attitudes of managers and staff supported people to live inclusive and empowered lifestyles. Staff promoted equality and diversity when supporting people.

People and staff had opportunities to give feedback about the service and contribute their thoughts and ideas for improvement. They felt listened to and were confident that any issues would be resolved.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 16 July 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well led sections of this full report.

Enforcement

We have found breaches in relation to consent and management oversight at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.