Botham Hall

Updated 16 December 2022

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

The service was inspected by two inspectors and 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

Botham Hall in 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the Provider Information Return (PIR). This is information providers are required to send us annually with key information about their service, what they do well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and 6 relatives about their experience of the care provided. We spoke with 5 members of staff, including the deputy manager. We carried out observations of care.

We reviewed a range of records. This included 4 care records and multiple medication records. We looked at 2 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 requested some documentation to be sent for us to review remotely.

Updated 16 December 2022

About the service

Botham Hall Care Home is a residential care home providing personal for up to 40 people. The service provides support to people with a range of needs, including those living with dementia. Botham Hall accommodates 40 people across two floors, accessible via a lift. At the time of our inspection there were 37 people using the service.

People’s experience of using this service and what we found

People felt safely supported and enjoyed good relationships with consistent staff who understood their individual needs. Recruitment practices were robust to help ensure staff were suitable to work with vulnerable people. Individual risk assessments were clearly detailed to ensure people had safe care and this information was known by staff. Medicines were managed safely although we made a recommendation about improving recording where people needed medicines ‘as required’.

The home was clean, with infection prevention and control measures in place. Clear information about COVID-19 was available in line with current guidance.

Staff felt fully supported through supervision and there was effective teamwork to support people’s needs. Staff training was regularly completed, and staff were confident in their roles. Mealtimes were sociable occasions and people enjoyed the quality of the food and drinks overall.

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.

People enjoyed the friendly, homely atmosphere within the home. Staff were kind and caring in their approach and treated people with respect. Staff knew people’s individual preferences and personalities. People’s care records were person-centred and detailed.

People were supported to enjoy meaningful activities and staff engaged in plenty of conversation throughout the day. Families were confident the service met the needs of their relatives and they gave positive feedback about the quality of care and staff interaction.

Staff spoke confidently about the management team and felt well supported, listened to and valued. Families were kept informed and felt included through communication with staff.

There was close oversight of the quality of the service. Quality checks were consistently carried out, and the management team were involved in people’s care. There was evidence of close working with other professionals to meet people’s needs.

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 on 15 March 2018.

Why we inspected

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

Follow up

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