6 July 2022
During an inspection looking at part of the service
Boars Tye Farm Residential Home is a residential care home providing personal care to up to 27 people in one adapted building, some of whom may be living with dementia. At the time of our inspection there were 23 people using the service.
People’s experience of using this service and what we found
Although there were risk assessments and care plans in place, not all risk to people’s safety and wellbeing had been identified and mitigated. People told us they felt safe; however, the systems in place did not always protect people from avoidable harm. Not all concerns had been reported to the appropriate bodies in a timely way.
People’s medicines were not always safely managed, people did not always receive their medicines as prescribed.
The provider had systems and processes in place to monitor the quality of the service, however some of these had not identified what we found on our inspection.
There was a complaints procedure in place and complaints were being responded to.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good (published March 2020).
Why we inspected
We received concerns in relation to safeguarding, keeping people safe from risk of harm and the management of medicines. 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 changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Boars Tye Farm Residential Home on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed
We have identified breaches in relation to risk, medicines management and management oversight of the service.
Please see what action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.