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CQC report explained · a residential care home, run by Consensus Support Services

Bannigans

19 High Street, Corby, NN17 1UX

Requires improvementpublished 24 January 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Risk assessments did not always contain enough detail for staff to reduce known risks. Some records for as-required medicines also lacked information about when and why they should be given, although people received medicines as prescribed.
Effective?
Requires improvement
The home did not always follow the legal rules about consent and restrictions. Mental capacity records were confusing or contradictory, and required safeguards and advocacy were not always in place.
Caring?
Good
Staff were observed to be kind, approachable and respectful. They supported independence, privacy, communication and involvement in decisions, although some daily records used language that was not respectful.
Responsive?
Good
People had personalised support plans and were supported with activities, exercise, shopping, relationships and family contact. Information was provided in formats people could understand.
Well-led?
Requires improvement
Management systems did not reliably identify or fix gaps in care plans, risk records, consent and safeguards. New checking systems had been introduced, but they were still at an early stage.
The latest report, explained

What inspectors found, January 2024

Rated Requires Improvement; inspectors found caring and responsive support, but concerns about consent, risk records and management oversight.

Inspectors visited without notice on 15 and 30 November 2023. They spoke with all four people living there, two relatives and five staff. They reviewed care records, medicine records, audits, accident and incident records, and recruitment files.

People were generally treated kindly and supported to make choices, keep relationships and take part in activities. Staff understood people's health needs, including Prader-Willi syndrome, and people received their medicines and health support.

However, records did not always explain risks clearly enough for staff. The home had not always followed the legal safeguards for restrictions on food, drink and kitchen access. Its audits had identified some of these problems but action had not been completed.

The overall rating changed from Good at the previous inspection, published in 2018, to Requires Improvement. Safe, Effective and Well-led were Requires Improvement. Caring and Responsive remained Good.

What inspectors praised
  • Kind and respectful support

    People and relatives said staff were kind and caring. Inspectors saw staff communicate clearly, show compassion and provide personalised care.

    People and relatives told us staff were kind and caring. We observed staff were friendly and approachable.from the report
  • Activities and relationships

    People were supported to follow their interests, attend activities and maintain contact with family and friends.

    People were supported to participate in their chosen social and leisure interests on a regular basis.from the report
  • Health support

    Staff monitored people's health, supported appointments and understood important needs linked to Prader-Willi syndrome.

    People were supported to attend regular health checks, vaccinations, dental appointments and health screening.from the report
  • Safeguarding and medicines

    Staff knew how to recognise and report abuse. Medicines were given as prescribed, and staff had training and competency checks.

    People received their medicines as prescribed.from the report
What inspectors were concerned about
  • Restrictions and consent

    serious

    The home restricted access to food, drink and kitchens without consistently recording consent, best-interest decisions or the required safeguards. Inspectors said people were at risk of restrictions on their liberty without suitable protection.

    People were at risk of having restrictions on their liberty without the suitable safeguards in place.from the report
  • Incomplete risk information

    serious

    Some support plans did not give staff enough detail about known hazards or health conditions. This could make it harder for newer staff to provide safe and consistent support.

    People's support records did not provide enough information for staff to understand or reduce the risk.from the report
  • Weak management oversight

    serious

    Audits had identified consent and safeguard problems, but the home had not acted on them. Quality checks also failed to identify incomplete, out-of-date or contradictory records.

    The provider failed to have all the systems in place to make improvements identified in audits or identify where improvements to the quality of the service was required.from the report
  • Some medicine records incomplete

    needs fixing

    Records for some as-required medicines did not contain all the information staff needed. A new system for non-prescribed medicines still needed to become established in practice.

    Some areas of recording 'as required' medicines did not have all the information staff needed to understand when and why they should give these medicines.from the report
  • Language in daily records

    minor

    Some daily records used terms that did not reflect the respectful, strengths-based support inspectors observed. The provider said it would improve staff practice.

    People's daily care records sometimes contained less respectful terminology, such as people having 'outbursts' and referring to people as 'aggressive' and having 'challenging behaviour'.from the report
Questions to ask them, based on this report
  1. 01What has been done since the inspection to record consent and best-interest decisions for restrictions on food, drink and kitchen access?
  2. 02Which people now have, or have applied for, Deprivation of Liberty Safeguards authorisation, and how is the least restrictive option being checked?
  3. 03How have risk assessments been updated for self-harm, food and drink restrictions and related health conditions?
  4. 04How are managers checking that care plans are complete, current and consistent, and that audit actions are finished on time?
  5. 05How are as-required and non-prescribed medicines now recorded, including when and why they should be given?

This was an unannounced inspection covering all five key questions, including infection prevention and control; the report says the previous overall rating was Good in 2018. This explanation was written from the published report of 24 January 2024 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 Bannigans

3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.

  1. January 2024Requires improvementcurrent ratingdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Bannigans

  2. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 21 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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