Bosworth Care Home

Updated 23 February 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one adult social care inspector.

Service and service type:

The service is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at on 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 was a planned inspection and was unannounced. The inspection took place on 4 and 5 February 2019.

What we did:

Before the inspection, we reviewed the Provider Information Return (PIR) from the service. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also spoke with the local authority quality improvement team to obtain their views about the service. We used all this information to plan our inspection.

We spoke with five people and four relatives. We also spoke with the registered manager, deputy manager, three care staff, including a senior carer, the cook, activity coordinator, maintenance worker and a domestic assistant. We spoke with one health care professional during the inspection and two health care professionals by telephone following the inspection.

We looked around the service and observed care practices throughout the inspection. We reviewed a range of records including four care plans, three staff files, two agency files, staffing rotas, training records and other information about the management of the service. This included accidents and incidents information, seven Medicine Administration Records (MAR), cleaning records, equipment checks and quality assurance audits.

We used the Short Observational Framework for Inspection (SOFI) during meal times. This is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 23 February 2019

About the service:

Bosworth Care Home is a residential care home registered to provide care for up to 20 older people who require personal care. Some of the people at the home were living with dementia. The home does not provide nursing care. At the time of the inspection there were 14 people living in the home.

Rating at last inspection:

At our last inspection we rated the home Requires Improvement (published 05 April 2018) as we found shortfalls in the medicines management, infection control, cleanliness of the home and ensuring the equipment and premises were safe. In addition, the systems to assess and manage the safety and quality of the service had not identified these shortfalls. At the last inspection we found three breaches of the Health and Social Care Act 2008 and associated Regulations. This service has been rated Requires Improvement at the last two inspections.

At this inspection we found the shortfalls had been addressed and the rating had improved.

Why we inspected:

This inspection was a scheduled inspection based on the previous rating.

People’s experience of using this service:

People told us they felt safe and happy living at Bosworth Care Home. The staff demonstrated a good understanding of how to meet people’s individual needs and wishes. People’s desired outcomes were known, and staff worked with people to help achieve these. People were supported and encouraged to retain their independence and live their lives as fully as possible.

People were supported to maintain contact with those important to them including friends, family and other people living at the home. Staff understood the importance of these contacts for people’s health and well-being. Staff and people were observed enjoying warm and mutually beneficial interactions. Staff knew people well and what made them individuals.

The management of the home were well respected and promoted an open and transparent approach. Staff had a good understanding of their roles and responsibilities and were supported to reflect on their practice and pursue learning opportunities. The staff team worked and got on well together demonstrating team work and flexibility.

Quality and safety checks helped ensure people were safe and protected from harm. This also ensured that practice standards were maintained and improved. Audits helped identify areas for improvement and this learning was shared with staff.

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

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.