17 May 2022
During an inspection looking at part of the service
Baytrees Nursing Home is a residential care home providing personal and nursing care to up to 30 people with a variety of health care needs, such as Parkinson’s disease, stroke or frailty of old age. At the time of our inspection there were 27 people using the service in one adapted building.
People’s experience of using this service and what we found
Some medicines had not been disposed of as required. Prescription labels for some of these had been removed and the medicines retained in stock. Some medicines had been removed from their packaging so it was not clear who the medicines had been prescribed for. People were at risk of receiving medicines that had not been prescribed for them.
Systems for monitoring and measuring the service overall had not identified issues found at this inspection.
The home was clean and well-maintained. One person said, “They come in and clean my room. If I’m sleeping, they won’t disturb me. They keep the house clean and if they didn’t, they’d get an earful from the boss!”
People felt safe living at the home, and staff were trained to recognise signs of potential abuse and how to protect people from the risk of harm. There were sufficient trained staff to meet people’s care and support needs, and new staff were recruited safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s diverse needs were recognised and catered for by staff who felt supported in their roles. One person said, “I think it’s good here, it’s all right”.
Residents’ meetings were organised and enabled people to comment about the care they received; these were reviewed and actions taken if needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 July 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Baytrees Nursing Home 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 monitor the service and will take further action if needed.
We have identified a breach in relation to the disposal and storage of some medicines at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.