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CQC report explained · a residential care home, run by Derby City Council

Bonsall View

Arboretum House, Morleston Street, Derby, DE23 8FL

Goodpublished 18 January 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm by staff who knew their needs. Inspectors found enough staff, safe recruitment, safe medicines systems and effective infection control.
Effective?
Good
This question was not inspected during this visit. Its rating was carried over from the previous inspection.
Caring?
Good
This question was not inspected during this visit. Its rating was carried over from the previous inspection.
Responsive?
Good
This question was not inspected during this visit. Its rating was carried over from the previous inspection.
Well-led?
Requires improvement
The provider did not show reliable evidence of quality assurance checks. Care plan reviews, updates and some compliance records were not consistently recorded or readily available.
The latest report, explained

What inspectors found, January 2024

Rated Good overall; inspectors found safe, person-centred support, but oversight and care records required improvement.

This was a focused inspection after the home moved to new premises. One inspector visited on 21 November 2023, met the two people using the service, and spoke with relatives and staff. Inspectors reviewed care records, medicine records, staff files and management records.

The home was rated Good for Safe. Staff knew people well, there were enough staff, medicines were managed safely, and infection control arrangements were effective. People were supported to make choices, take part in activities and use the home and outdoor areas.

The home was rated Requires Improvement for Well-led. Inspectors could not find reliable evidence of provider quality checks. Some care plans were not up to date, and care plan reviews and other checks were not always recorded. The overall rating was Good, but the other key question ratings were carried over because this inspection only looked at Safe and Well-led.

What inspectors praised

  • Enough staff

    Inspectors found enough staff to meet people's needs, including when one-to-one or two-to-one support was required.

    “There were sufficient staff deployed to meet people's needs, including 1 to 1 and 2 to 1 support where required to keep people safe.” from the report

  • Support matched to people

    Staff understood people's individual needs and supported them to make choices, take part in activities and use spaces designed for their needs.

    “People were supported to access the different areas of the home which had been designed and set up to meet their personal care, physical, emotional, and sensory needs.” from the report

  • Positive family feedback

    Relatives consistently said they were very happy with the home and its staff team. Communication with families included calls, videos and written feedback.

    “People's relatives consistently feedback compliments about the staff team and the support they provided.” from the report
What inspectors were concerned about

  • Weak provider oversight

    needs fixing

    The provider could not show a clear record of its quality checks or visits. Inspectors recommended action to make governance reliable and effective.

    “No documentary evidence was available either during or after the inspection of quality assurance checks carried out by the provider.” from the report

  • Care records not always current

    needs fixing

    Some written care plans did not contain the latest information. Checks had not always been completed to identify missing or overdue reviews.

    “Written care plans did not always contain the most up to date information relating to people's care.” from the report
Questions to ask them, based on this report
  1. 01What quality checks does the provider now complete, and where are the records of those checks kept?
  2. 02How do you make sure each person's care plan is reviewed and updated when their needs change?
  3. 03How do you check that care plan reviews have been completed if staff are unavailable?
  4. 04What specialist training has each member of staff completed, and what training is still planned?
  5. 05How will the home maintain safe support when the registered and deputy managers are absent?

This was a focused inspection of Safe and Well-led after the move to new premises; the other ratings were carried over from the previous inspection. This explanation was written from the published report of 18 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 Bonsall View

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Bonsall View →

  2. November 2017Goodstayed Good
    Safe: GoodWell-led: Good
  3. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. July 2022

    Registered with the Care Quality Commission on 11 July 2022.

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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