2 May 2023
During an inspection looking at part of the service
Banbury Heights Nursing Home is a residential care home providing personal and nursing care to up to 58 people. The service provides support to older and younger people with dementia, physical disabilities, sensory impairments, mental health needs, learning disabilities or autism in one adapted building, over 3 floors. At the time of our inspection there were 47 people using the service.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support:
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Staff did not always have the information required to provide safe, effective care. Care plans and risk assessments did not always contain relevant, up to date information within them.
People were supported safely with medicines. We found improvements had been made to medicines management.
People were supported by staff who had been safely recruited. The provider completed police checks and gained references for staff prior to them starting work. Staff received an induction and training.
Right Care:
Risks to people had not always been mitigated. We found concerns with risk associated with skin pressure damage, health conditions and supporting people with distress or anxieties.
Unexplained bruising had not been investigated or mitigating strategies implemented to prevent the risk of reoccurrence.
Staff had received appropriate training to understand people’s individual needs and to follow the providers policies and procedures.
Right Culture:
Systems and processes were not always effective in ensuring the registered manager and provider had oversight of the service.
Systems were in place to gain feedback from people, relatives, and staff. Staff told us they felt supported within their roles and people told us they felt safe.
The registered manager and provider were open and transparent throughout the inspection. Updated records and new procedures were implemented immediately after the inspection. However, these will require time to become embedded into practice to reduce risks.
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 requires improvement (published 14 May 2022) and there were breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We received concerns in relation to safety and oversight. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 not changed from requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Banbury Heights Nursing Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to risk management and management oversight at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.