Bassingham Care Centre

Bassingham Care Centre is registered to provide accommodation and personal care for up to 60 young and older adults who have needs associated with dementia and a broad range of medical conditions. On the day of our inspection there were 43 people using the service, 16 of these people lived in the bungalow complex on the site and 27 lived in the main house.

People’s experience of the service and what we found:

People lived in a safe environment. Staff supporting them were knowledgeable about their needs and understood their responsibilities in protecting people from potential abuse. The registered manager worked with the local safeguarding teams to investigate and address any issues raised to them.

The risks to people’s safety were assessed and measures identified to reduce risk were in place. People’s medicines were managed safely and there was enough staff to support people’s needs.

People lived in an old building and the provider had an ongoing refurbishment plan in place to maintain the environment. People were protected against the risk of infection as staff followed good infection prevention practices.

There was a good management structure in place, with quality assurance processes in place to highlight any aspects of people’s care which needed improving.

People, relatives and staff told us the management team were approachable and staff felt supported in their roles.

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 this service was Good, published 3 October 2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service. 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.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.

Staff received relevant training and felt well supported. People were asked for their consent and appropriate steps were taken to support people who lacked capacity to make particular decisions. People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place which provided clear information about the care people required. People knew how to make a complaint and there was a clear complaints procedure in place.

There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.

Further information is in the detailed findings below.

We saw that people had options to choose from at lunchtime and people told us there was always a good choice of meals. We saw a sample of individual rooms and found that they were clean and furnished to individual preferences.

One person told us that staff helped them well with washing and getting dressed each morning and always carried out these tasks in the way that was agreeable to them.

We asked people if they felt safe at the home and one person told us, 'They look after me well.' A regular visitor told us that people seemed safe and they had no concerns about their safety.

A refurbishment programme was in place, and most of the occupied rooms were recently refurbished, following a 'dementia friendly' d'cor plan, with low ceilings, room doors styled like house front doors and colour coded doors such as yellow to show bathrooms.