Bourne Wood Manor Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bourne Wood Care Home is registered to provide nursing and personal care for up to 64 people. There were 30 people living at the service at the time of our inspection.

This inspection site visit took place on 12 December 2018 and was unannounced. This was the first inspection since the service was registered in December 2017.

There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People told us that there were enough staff to support them safely at the service. There were sufficient levels of staff to provide support to people when needed. There were robust recruitment procedures in place to ensure that only suitable staff were employed. People told us that they felt safe living at the service and received medicines when needed. The management of medicines was being undertaken safely and they were disposed of securely.

Staff understood and managed known risks associated with people’s care. Clinical risks were monitored by nursing staff. Accidents and incidents were recorded and actions were taken to reduce further occurrence. The registered manager reviewed all accidents and incidents to ensure that patterns were identified and actions taken. Staff understood how to protect people from the risk of infection. This was a purpose-built service which was clean and well maintained. Staff understood safeguarding procedures and what action to take if they suspected any type of abuse.

Staff were sufficiently trained and supervised to ensure that they were competent to complete their duties appropriately. Staff understood the principles of the Mental Capacity Act 2005 (2005). People’s consent was sought before care was delivered. Appropriate applications were submitted to the Local Authority where people may have been deprived of their liberty. Where people were nutritionally at risk, staff monitored and took actions to address this. People told us the food was good and had access to drinks regularly. Detailed pre-admission assessments were undertaken before people moved into the service. People had access to health care professionals where needed. Staff worked well together within the service and followed guidance from health care professionals.

People were cared for by kind and attentive staff who had a positive relationship with them. Staff created a calm and relaxed atmosphere in the home and we saw that they spoke with people in a respectful yet warm and friendly manner. People’s independence and dignity was valued and protected. Relatives were welcomed into the home.

People had access to appropriate and regular activities which people told us they enjoyed. Care plans contained detailed guidance for staff on how to deliver care. Staff read and understood the care plans. Complaints would be recorded and responded to appropriately when received.

There was a comprehensive system of auditing to review the care being delivered. Actions were taken to ensure any shortfalls were addressed. People, relatives and staff felt that the service was managed well. Staff felt supported and valued and enjoyed working at the service. People and staff were asked for feedback on care and their views were taken on board. Staff worked with organisations outside of the service to support the care being provided.

Services that provide health and social care to people are required to inform the Care Quality Commission