Bayford House Care Home

Updated 28 February 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was undertaken by one inspector, a specialist advisor and an assistant inspector.

Service and service type

Bayford House Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We looked at feedback and any notifications that we received. Notifications are reports of events the provider is required by law to inform us about. We used all of this information to plan our inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke to nine people who use the service and four relatives about their experience of the care provided. We spoke to 12 members of staff including the registered manager, regional director, deputy manager, nurses, care assistants, senior care assistants, administrator, activity coordinator and chef. We observed people's dining experience at lunchtime and dinner time. We observed people being administered their medicines. We reviewed a range of records. These included nine people's care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. We looked at a variety of records relating to the management of the service, including policies and procedures, accidents and incidents, complaints, audits and quality assurance records were reviewed. We spoke with one health and social care professional to gain their feedback on the care provided to people.

After the inspection

We looked at the evidence we had gathered including training data and quality assurance records. We contacted five health and social care professionals who regularly have contact with the service.

Updated 28 February 2020

About the service

Bayford House Care Home is registered to provide personal and nursing care for up to 59 people with a range of needs including complex health and care needs. At the time of inspection, the service was supporting 51 people. The home is set across two units, Bayford House and Newdale Court. The home is set in its own gardens which people could access. There was a range of communal areas that people and their relatives could use.

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

People were supported by staff who understood the action to take should they have any concerns about people's safety. The risks associated with people's care had been identified and plans put in place to minimise these. There were enough suitably recruited staff available to keep people safe and staffing levels were reviewed and changed to reflect changes in people's needs. People were protected from infection by staff that kept the premises clean and used appropriate protective equipment when needed.

Care plans described people's needs and preferences and guided staff about people's needs and how to meet them. People had enough to eat and drink and had choices in what they ate and drank. Staff accommodated any specific dietary requirements or preferences. People received care and treatment from competent and skilled staff who had the relevant knowledge to meet people's needs.

The provider had a system to ensure all staff had regular training to keep them up to date with best practice. Training courses and training events were relevant to the needs of the people living at the service and staff ensured they put learning into practice. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible. The policies and systems in the service promoted this practice.

People told us care and nursing staff were kind, caring and compassionate. Staff were attentive to people's needs and knew how to promote their wellbeing. When people were anxious, care staff took time to reassure them and promote their wellbeing. People were treated with dignity and respect.

People received care that was responsive to their needs. People had been involved in reviewing their care to ensure it continued to meet their needs. People participated in activities of their choosing. People and relatives felt able to raise any concerns and could be assured these would be investigated.

The registered manager and staff team all had a very good understanding of their roles and were empowered to make suggestions to keep improving the care. The registered manager and provider had clear and robust systems to assess, monitor and improve the quality of care people received. Systems were designed to continuously improve the service and drive positive changes. People said the registered manager and staff were approachable, listened and responded to them and acted on feedback they shared with them.

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 Good (published 29 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.