Background to this inspection
Updated
14 June 2023
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 Health and Social Care Act 2008.
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
This inspection was undertaken by 3 inspectors, 1 of which was a medicines inspector. The team also included an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Baycroft Grays Farm Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us Baycroft Grays Farm Road is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post. The current manager had applied to CQC to become the registered manager for the service.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people who used the service and two relatives about their experience of the care provided. We spoke with 5 care staff, the chef, an activities coordinator, the maintenance man, the deputy manager, the clinical lead, a nurse, the home manager, the regional manager, and the providers strategic head of operations. We reviewed a range of records. This included 9 people’s care records and medication records. We looked at staff files in relation to recruitment and staff training. We also reviewed a variety of records relating to the management of the service including quality monitoring checks and audits and policies and procedures.
Updated
14 June 2023
Baycroft Grays Farm Road is a care home providing personal and nursing care for up to 75 people. There were 34 people receiving support at the time of our inspection. The home accommodates people across three floors. Only two of the floors were being used at the time of the inspection. One of the floors specialises in providing care for people living with dementia.
People’s experience of using this service and what we found
The home had safeguarding and whistle blowing procedures in place and managers and staff had a clear understanding of these procedures. There were enough staff available to meet people’s needs. Robust recruitment checks took place before staff started work. Staff followed government guidance in relation to infection prevention and control. The provider had systems for monitoring, investigating, and learning from incidents and accidents. People’s medicines were managed safely.
People’s needs were assessed when they moved into the home. Risks to people had been assessed to ensure their needs were safely met. Staff had completed an induction, they received training relevant to the people they supported needs and the had regular supervision. People told us they enjoyed the food provided and they had access to health care professionals when they needed them. The design of the premises was meeting people's needs. 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 had been consulted about their nursing and care needs. There was a range of facilities and activities to support people’s need for social interaction and stimulation. Staff understood and responded to people’s diverse needs. The home had a complaints procedure in place and people and their relatives said they were confident their complaints would be listened to. People had access to end-of-life care and support when it was required.
The manager and staff worked in partnership with health and social care providers to deliver an effective service. The provider took people and their relatives views into account through surveys and residents and relative’s meetings. There were systems in place to monitor the quality and safety of the service and any learning was identified and acted on. Staff told us they enjoyed working at the home and they received good support from the manager.
Rating at last inspection.
This service was registered with us on 31 March 2023, and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 11 September 2021.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation about the management of some medicines.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk