Homesdale (Woodford Baptist Homes) Limited

Updated 24 January 2020

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.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Homesdale (Woodford Baptist Homes) Limited 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.

What we did before the inspection

We checked the information we already held about this service. This included details of its registration, previous inspection reports, and any notifications of serious incidents the provider had sent us. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

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 seven members of staff including the registered manager, general manager, a senior care assistant, two care assistants, the activities coordinator and the chef. We spoke with a visiting health care professional. We observed how staff interacted with people.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at five 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 documents sent to us in relation to safeguarding adults and complaints.

Updated 24 January 2020

About the service

Homesdale (Woodford Baptist Homes) Limited is a residential care home, and was providing accommodation and support with personal care to 16 people aged 65 and over at the time of the inspection. The service can support up to 18 people. The home is built over three floors, which are connected by a lift. The communal areas are located on the ground floor.

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

Much of the record keeping in the service was hand-written and difficult to follow and time consuming to review, and we have made a recommendation about this.

Procedures were in place to help protect people from the risk of abuse and staff understood their responsibility for safeguarding people. Risk assessments were in place which provided guidance about how to support people in a safe way. There were enough staff working at the service to meet people’s needs and robust staff recruitment practices were in place. The service sought to learn lessons when accidents and incidents occurred. Steps had been taken to protect people from the risk of infection. Medicines were managed safely.

People’s needs were assessed before they commenced using the service to ensure those needs could be met. Staff received training and supervision to support them in carrying out their role effectively. The design and layout of the building was suitable for the people using it. People had a choice of what they ate and drank. The service worked with other agencies and professionals to support people’s health care needs. 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.

People told us staff were kind and caring and treated them respectfully. Staff had a good understanding of how to promote people’s privacy, dignity and independence. The provider sought to meet people’s needs in relation to equality and diversity.

Care plans were in place which set out how to meet people’s needs. People and their relatives were involved in developing these plans. People had access to a range of social and leisure activities and we saw people enjoying these on the day of our inspection. Complaints procedures were in place. Information was provided in various formats to help make it accessible to people. End of life care plans were in place and the provider worked with other agencies to meet people’s needs at the end of life stages of care.

Quality assurance and monitoring systems were in place to help drive improvements at the service. Some of these included seeking the views of people who used the service and others. The service had links with other agencies to help develop best 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 9 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.