Archived: Bathampton Manor

Updated 5 June 2021

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.

This was a targeted inspection to check whether the provider had met the requirements of the warning notice in relation to Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This inspection took place on 12 May 2021 and was unannounced.

Updated 5 June 2021

About the service

Bathampton Manor is a residential care home providing personal care to people aged 65 and over. The service can support up to 21 people. At the time of the inspection 16 people were living at the home.

The service is a listed building, with extensive gardens and grounds. There were communal spaces downstairs including a conservatory, dining room and two lounges. There were well-maintained gardens with level access.

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

People were not fully protected from the risk of infection. Published guidance and best practice in infection prevention control had not always been embedded in the service’s policies and procedures to fully reduce the risk of transmission of COVID-19. Staff were not always following guidance on the correct use of masks.

Notifications of important events had not been submitted to the Commission as required. Although governance systems were in place these did not identify shortfalls in the management of safeguarding concerns and accidents and incidents.

Medicines were managed and administered safely. Risk assessments were in place for people and contained plans to guide staff on how to care for people safely. Staff were recruited following safe recruitment procedures.

People were happy living at Bathampton Manor and were supported to retain their independence. We received positive feedback from people and their relatives about staffing levels and the care received by people. People could access a range of communal spaces. There was a happy and calm atmosphere. People were able to enter the garden freely and enjoyed the outdoor space available.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 13 November 2019). A targeted inspection was conducted (published 08 October 2020). At this inspection a previous breach in Regulation 12 (Safe Care and Treatment) had been met.

The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive comprehensive inspections.

Why we inspected

We conducted this focused inspection to assess if improvements had been made at the service in the domains of Safe and Well-Led. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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.

The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

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 Bathampton Manor 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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to Regulation 12 (safe care and treatment), Regulation 17 (Good Governance) and Regulation 18 registrations (Notifications of other incidents) at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.