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Bigwig House, Holywell Bay, Newquay.

Bigwig House in Holywell Bay, Newquay is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care and caring for adults under 65 yrs. The last inspection date here was 9th October 2019

Bigwig House is managed by Green Light PBS Limited who are also responsible for 16 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Requires Improvement
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-10-09
    Last Published 2017-02-22

Local Authority:

    Cornwall

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

26th January 2017 - During a routine inspection pdf icon

We carried out a comprehensive inspection of Bigwig House on 26 and 27 January 2017. The inspection was an unannounced. The service was last inspected in July 2014. The service was meeting regulations at that time.

Bigwig House provides accommodation and personal care for up to three people who have autistic spectrum disorders. It is part of the Greenlight group which offers care and support to people with learning disabilities and autistic spectrum disorders living in Cornwall. At the time of the inspection three people were living at the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission, 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.

The service had not gained consent in respect of a person's care and support. The service had introduced a reward system for carrying out daily tasks. However it also imposed penalties for behaviours which challenged the service. There was no evidence to demonstrate this had been developed and discussed with the person or a best interest meeting arranged before the plan was started, in order to give them choices and consent to the design of their care and support.

Risk assessments were completed and regularly reviewed. However, we found instances where appropriate risk assessments had not been completed.

Where appropriate people were assessed in line with the Deprivation of Liberty Safeguards (DoLS) as set out in the Mental Capacity Act 2005 (MCA).

There was a positive culture within the service as demonstrated by how staff interacted with the people they supported and what we were told by staff when we spoke with them. Staff felt empowered by the organisation to support people as individuals and encourage and help them to reach the goals they set for themselves in their lives.

The service was organised to suit the needs of the people who lived there. One professional we spoke with, who knew the service, commented positively about how the service ran, “Bigwig are very proactive in their communication and are always keen to try new ideas and feedback on progress. Staff are very attentive to people’s needs and interact appropriately with residents.”

We observed that people were relaxed and comfortable during the inspection. Staff interacted in a friendly manner and supported people as they needed whilst encouraging them to be independent. Staff demonstrated a caring attitude towards the people living at Bigwig House. People were supported to maintain strong relationships with their families. People’s preferred method of communication was taken into account and respected.

Staff recognised the importance of family relationships and friendships. People were encouraged and supported to develop and maintain social networks. People had access to a range of activities which supported them individually. All three people took a holiday in the summer months and were supported by staff to choose where to go and plan the holiday. People were supported by two staff members when they went on holiday due to their level of need. People had been able to fulfil long term goals, such as visiting historical sites in the UK and abroad which had brought them much pleasure.

Care records were person centred and contained detailed and specific information to guide staff who were supporting people. There were some parts of the care plans which included information about the person in a format which was meaningful for people. This included large print and pictorial information. Care documentation was regularly reviewed and updated to ensure it reflected the current situation for each person who lived at Bigwig.

Staff were supported by a system of supervision and training. New staff were required to complete a formal induction

17th July 2014 - During a routine inspection pdf icon

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

We announced the inspection visit two days in advance. This was because this is a small service and we wanted to ensure people would be available to talk with us. Bigwig House was last inspected in July 2013, no concerns were identified at that inspection.

Bigwig House provides accommodation and personal care for up to three people with autism or Aspergers syndrome. On the day of the inspection visit three people were living at the home.  The home had a registered manager.  A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. At the time of the inspection the registered manager was in the process of leaving the service and the deputy manager was running the service. The Care Quality Commission (CQC) had been properly notified of this arrangement. The deputy manager would be applying for the position of registered manager for Bigwig House.

People were relaxed and happy on the day of the inspection. We saw staff talking with people in a friendly manner. We saw they assisted people as they needed whilst encouraging people to be independent.

We saw care records were of a high standard and contained detailed information to guide staff who were supporting people. Risk assessments were completed and regularly reviewed. We found people were supported to live full and active lives and access the local community. People were able to take part in a varied range of activities which reflected their individual hobbies and interests.

Staff demonstrated a caring attitude towards the people living at Bigwig House. People were supported to maintain strong relationships with their families. People’s preferred method of communication was taken into account and respected.

Staff were well supported through a system of induction, training, supervision, appraisal and professional development.

There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to develop their independence. We saw the service was organised to suit the needs of the people who lived there.

The service was well-led. Accidents and incidents were appropriately recorded and analysed. There were robust quality assurance systems in place.

30th July 2013 - During a routine inspection pdf icon

We were unable to speak with the three people who used the service at Bigwig due to their complex communication needs, but we observed how they interacted with staff.

We saw that, where possible, people were supported to be involved in decisions about their care and treatment.

We observed staff interacting with people who used the service in a kind and calm manner. We saw staff showed, through their actions, conversations and during discussions with us empathy and understanding towards the people they cared for. We saw people's privacy and dignity was respected.

We examined people's care plans and found the records were up to date and reviewed as the person's needs/wishes changed.

Systems for safeguarding people from abuse were robust and were understood by staff and used to protect people's rights.

Staffing levels were consistent with the hours commissioned and ensured people were supported well.

28th October 2012 - During a routine inspection pdf icon

We saw staff were respectful, friendly and supportive to the people who lived at Bigwig. The atmosphere in the home was warm, welcoming and there was a sense of fun.

It was evident, from our observations, that staff and people who lived at Bigwig had a comfortable and respectful relationship with each other.

Staff interactions with people, and people’s behaviour showed they felt safe living at Bigwig.

From our inspection we found that people’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care and peoples needs was assessed and care and treatment was planned and delivered in line with their individual care plan.

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening and people were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

There were enough qualified, skilled and experienced staff to meet people’s needs and the provider had an effective system to regularly assess and monitor the quality of service that people receive.

 

 

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