• Care Home
  • Care home

Bonhomie Sarisbury Green

Overall: Requires improvement read more about inspection ratings

Glen Road, Sarisbury Green, Southampton, Hampshire, SO31 7FD (01489) 602222

Provided and run by:
Saffronland Homes 2 Limited

Important: The provider of this service changed. See old profile
Important:

We served a warning notice on Saffronland Homes 2 Limited on 14 February 2024 for failing to meet the Regulation relating to Good Governance at Bonhomie Sarisbury Green.

All Inspections

During an assessment under our new approach

Bonhomie Sarisbury Green is a care home without nursing. Its specialisms include support for those with sensory impairments, learning disabilities, physical disabilities, acquired brain injuries and those experiencing mental health conditions and / or other complex needs. The service aims to support people to re-develop their independence and skills, so that they can move on to more independent living settings. We carried out our on-site assessment activity on the 12 and 14 December 2023. We assessed 12 quality statements. The registered manager and provider had failed to adequately assess and monitor the safety and quality of care being provided. Insufficient improvements had been made following our last inspection to ensure medicines were safely managed and risks to people were adequately assessed and planned for. New concerns were identified with how the service managed incidents affecting people’s safety. At our last inspection, we recommended improvements be made with regards to how legal frameworks for consent were being implemented. These improvements had not been made. The service was not able to demonstrate how they were meeting some of the principles of Right support, right care, right culture. For example, there was insufficient evidence of planning and consideration of people's preferences and longer-term aspirations. Improvements were needed to ensure people were at all times treated in a dignified and respectful manner. The provider was not always promoting safety through the hygiene and maintenance of the premises, this had been a concern when we last inspected the service. Improvements were needed to ensure the service appropriately escalated safeguarding concerns to all of the relevant agencies. People were empowered to share their views and provide feedback, however, the processes in place demonstrating how these were acted upon needed to be more robust. The service had enough staff who had overall received appropriate training.

23 November 2021

During a routine inspection

About the service

Bonhomie Sarisbury Green is a residential care home providing personal care to 14 people aged 18 to 65 at the time of the inspection. The service can support up to 19 people living with substance misuse or mental health conditions in an adapted building. Each person’s room had a kitchenette with snack and drink making facilities as well as a lounge and sleeping area.

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

We were not assured that medicines were safely managed. We found some medicines recording to be incomplete and some completed in error. There was not always sufficient information to support staff in administering PRN medicines.

The premises were not well maintained and as a result did not appear to be well cleaned. Scuffed paintwork prevented effective sanitising and there were unsealed edges to flooring in toilets. The registered manager has been responsive in addressing concerns we had about the premises and maintenance is underway.

People were supported by staff who understood the types of abuse that may occur and who were confident the registered manager would address any concerns they had. Safety checks ensured the premises were safe and equipment had regular services. Records of completed works were not always available. We were concerned about risks associated with alcohol gel however the registered manager addressed this during our inspection.

Care plans were very long, and we were not confident staff could support people after reading them as information was not always clearly stated. Assessments had been completed by both the provider and health and social care professionals and used to form care plans.

Staff were safely recruited, and staff told us there were usually sufficient staff deployed. Staff accessed training online and were mostly happy with the training they completed. We were not assured that all staff had sufficient first aid skills as they were not able to demonstrate their knowledge and skills, however all staff had received updates in this area. There was no specific training in the medical conditions people using the service lived with and there had been no mental health training since 2018.

Meals were appetising and generous however we were concerned that a person’s SaLT assessment around swallowing was not being followed. Snacks were available in the communal areas of the service.

We were not assured that oral health assessments and care plans were in use however the registered manager agreed to assess a person at our request. We have made a recommendation about this.

People were mostly supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We have made a recommendation about MCA records in the report.

Advocates were available to support people and there were signed consent forms for aspects of care and support in people’s care records.

Staff were kind to people and knew them well. They were aware of preferences and family and other information that enabled positive interactions. We were not assured that people were always treated with respect or that there was therapeutic value to interactions used during crises.

Care plans detailed how people wanted to receive care and there was some information about how best to communicate with people.

There was no overall activities programme, people had individual plans according to their interests and needs. The provider had supported people to stay in contact with friends and relatives during the pandemic through phone and video calls and visits in the garden.

Audits were completed of the service however these did not always identify areas that needed improvement. The provider issued regular quality assurance questionnaires to peoples, relatives and staff and devised action plans to address any improvements needed.

Health and social care professionals told us the provider worked well in partnership with them.

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 is not currently registered to provide a service to people who have learning disabilities or autism however people with both conditions use the service. We have asked them to add learning disability and autism to their service user bands. It is also important for the provider to consider the principles of Right Support, Right Care, Right Culture when delivering care to people with learning disabilities or autism.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for the service under the previous provider or legal entity was good, published on 13 February 2018.

Why we inspected

This was a planned inspection based on the previous rating and the change to provider.

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.

We have found evidence that the provider needs to make improvements. Please see the safe and effective sections of this full report.

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bonhomie Sarisbury Green on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a breach in relation to medicines recording. Please see the action we have told the provider to take at the end of this report.

Follow up

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

We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

24 September 2020

During an inspection looking at part of the service

About the service

Bonhomie Sarisbury Green is a care home providing accommodation for up to 19 people who may be living with mental health needs. At the time of the inspection there were 14 people living at the home.

People’s experience of using this service

We found recommendations from the Food Standards Agency (FSA) had been implemented and sustained.

Appropriate plans were in place to mitigate risk and regular communication with healthcare professionals was evident.

Prior to the inspection we received information concern from the general public.

Rating at last inspection

The location has not been rated.

Why we inspected

We undertook this targeted inspection to follow up on specific concerns received about the service. The inspection was prompted in response to concerns received about the safe handling of food, maintenance and behaviours that others found challenging. We found no evidence during this inspection that people were at risk of harm from these concerns.

Please see the safe section of this report.

Follow up

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