Background to this inspection
Updated
3 March 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.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 2 February and was announced.
Updated
3 March 2021
North Bay House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. North Bay House is registered to provide personal and nursing care to a maximum of 29 older people. At the time of inspection there were 26 people using the service.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The service continued to protect people from the risk of abuse or avoidable harm. Staff knew how to identify and report potential abuse and risks to people were identified and planned for. Medicines were managed and administered safely. The premises remained clean and there were processes in place to reduce the risk of the spread of infection.
The service continued to deploy enough staff to meet people’s needs in a timely way and to practice safe recruitment procedures.
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 continued to support this practice. Staff understood and promoted independent decision making.
The service provided people with a choice of adequate food and drink. Support people required to maintain good nutrition and hydration was reflected in care planning. People were supported to have contact with other health professionals where appropriate.
People received care from staff who had the training, skills and experience for the role. The service continued to offer staff extra training sessions so they could offer people enhanced levels of support.
People told us staff were kind to them and the service continued to promote a culture of kindness, with the registered manager, provider and all staff leading this practice.
The service continued to offer people personalised care based on their individual preferences and to involve people and their representatives in the planning of care. Peoples’ wishes were adequately reflected in care planning, including their wishes when coming to the end of their life.
People were provided with adequate sources of meaningful engagement and were supported to feedback their views and experiences through meetings and surveys. People were made aware of how they could complain.
The registered manager and provider continued to operate an effective system to monitor the quality of the service provided to people. Areas for improvement were identified and acted upon. Staff, people using the service and their relatives were enabled and empowered to be involved in the ongoing development of the service. Changes were made based on suggestions from people using the service, their relatives and staff.
Further information is in the detailed findings below.