29 January 2018
During a routine inspection
Botham Hall is registered to provide personal care and accommodation for up to 40 older people, some of whom live with dementia. There were 36 people living at the home at the time of the inspection. The home has two floors. Eight bedrooms on each floor were ensuite; each floor also had communal bathrooms, a lounge and dining area. The first floor of the home was designed especially for people living with dementia.
Botham Hall 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 home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.
We identified some concerns relating to the administration and storage of medicines at Botham Hall. These were immediately addressed by the registered manager. All other aspects of medicines management were safe.
Contingency arrangements for the lift, which was broken at the time of this inspection, required improvement.
People told us they felt safe. Risks to people’s health and wellbeing had been assessed and managed. The registered manager analysed incidents in order to learn lessons and make improvements.
The home was clean and odour-free.
Sufficient staff were deployed to meet people’s needs. Recruitment procedures in place were robust.
Records showed, and staff told us, they received the training and supervision they needed to provide people with effective care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People told us they liked the food and drinks served at the home was positive. The registered manager had taken action to address concerns about the quality of service provided by the catering company which ran the home’s kitchen.
Staff at Botham Hall worked well together as a team. People were supported to meet their wider health needs.
People and their relatives liked the décor of the home. We saw adaptations had been made to better suit the environment for people living with dementia.
People and relatives told us staff at Botham Hall were kind and caring. All interactions between staff and people we observed during the inspection were respectful and supportive.
Staff could describe people well as individuals. Information about people’s personal histories and preferences had been recorded.
We saw staff supported people to make their own decisions by offering them choices. People had been involved in developing their care plans and had access to advocates if they needed support with decision-making.
The registered manager promoted an open and inclusive culture which ensured people’s diverse needs were met.
People’s care plans contained the information staff needed to meet people’s care and treatment needs. Staff had received training on end of life care and the home had achieved accreditation in end of life care.
People’s care plans contained information about their communication needs in line with the Accessible Information Standard. The registered manager planned to review the guidance and implement any further requirements.
Feedback about activities at Botham Hall was positive. At the time of this inspection activities were provided by coordinators three days. The registered manager was trying to recruit an activities coordinator for the other four days and had asked care workers to provide more activities in the meantime.
One formal complaint had been received since the last inspection and this had been managed by the registered provider. A complaints policy was displayed; both people and relatives said they would speak to the registered manager if they had any problems.
People and their relatives told us Botham Hall was well-managed. Feedback about the registered manager was positive.
A system of audits to monitor the quality and safety of the service was in place which was overseen by both the registered manager and registered provider.
The service worked in partnership with stakeholders and individuals. People, their relatives and staff were asked for feedback about the service and how to improve it.
The registered manager promoted the vision and values of the registered provider and ensured staff worked in accordance with them.