Background to this inspection
Updated
9 December 2021
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection team consisted of two inspectors.
Service and service type
Baycroft Fairfield 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 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 inspection was unannounced.
Inspection activity started on 16 November 2021 and ended on 24 November 2021. We visited the service on 16 November 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us with key information about their service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with four people who used the service and four relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, clinical deputy manager, strategic head of service, registered nurses, care staff, staff from the activities team and catering department.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
9 December 2021
About the service
Baycroft Fairfield is a residential care home providing personal and nursing care to 18 people aged 65 and over. This was for people who may be living with dementia, a physical disability or sensory impairment at the time of the inspection. The service can support up to 75 people.
The home is built over three floors with all bedrooms containing an ensuite wet rooms. In addition, there were shared lounges on each floor, a cinema room, a hair dressing salon, a bistro café, an overnight guest room, a fitness suite and shared outdoor courtyard and garden space.
People’s experience of using this service and what we found
People told us they felt safe living at the home. Measures had been put in place to address identified risk. Staff were knowledgeable of systems and processes in place to reduce the risk of harm and injury.
Care plans and risk assessments had been completed which were individual to the person. People and their families told us they had been involved in the assessment process.
People and their relatives spoke positively about the home. One person told us, “I love it, this is my forever home.” A relative told us, “The atmosphere is very positive, a living entity with everybody being included. It is a thriving community like a little village.”
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.
There were enough suitably qualified and skilled staff on each shift. Staff told us a robust recruitment process was in place which prepared them for their role. .
Staff had received training in the safe administration of medicine and had had their skill and practice regularly checked by senior staff and the registered manager.
Staff had completed training to provide them with the skill and knowledge to provide appropriate care for people at the end of their life.
People and their relatives said they found staff and the registered manager to be approachable. People told us they were confident that if they raised a concern this would be listened to and addressed.
People and their relatives felt listened to and involved in their care. People and their relatives told us the staff were kind and caring. One relative told us, “The staff provide care and support with grace and humour.”
The registered manager was supported by the strategic head of service who completed a variety of quality assurance audits which helped drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 06 November 2019 and this is the first inspection.
Why we inspected
This was a planned inspection as a newly registered 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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.