Background to this inspection
Updated
12 June 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 accompanied by a Specialist Advisor and an Expert by Experience. The Specialist Advisor had clinical and practical experience and knowledge of best practice relating to the care of older people and those living with dementia. 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
Bickerley Green Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 reviewed information we had received about the service since the last inspection. 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 seven people who used the service and two relatives about their experience of the care provided. We spoke with ten members of staff including the registered manager, deputy manager, registered nurses, assistant practitioners, care workers, and activities staff.
We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two 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 quality and safety assurance records. We received feedback from six professionals who had regular contact with the service.
Updated
12 June 2020
About the service
Bickerley Green care Home with Nursing is a care home which currently provides personal and nursing care to 57 people aged 65 and over. The service can support up to 60 people, including people admitted for short stay and reablement and those living with dementia.
People’s experience of using this service and what we found
People felt safe. Staff had received training in safeguarding and understood the actions they needed to take if they identified any concerns.
Systems were in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and assessments. A range of healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.
Risks were assessed, and actions taken to minimise these while promoting people’s independence as far as possible.
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 were supported by staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs.
People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people in a patient and friendly manner.
Staff developed caring relationships with people and were sensitive to their individual choices and treated them with dignity and respect.
People were encouraged and supported to be as socially active as they wished. In addition to group activities, one to one activities were provided. The service had good links with the local community.
There was some inconsistency in the quality of people’s care plans. Some were clear and person-centred, whereas some people’s care plans were not detailed enough, and this could compromise the care and support they required and received.
People and when appropriate their families or other representatives were involved in discussions about their care planning. People were encouraged to provide feedback on the service provided both informally and through an annual questionnaire.
The provider and registered manager kept records of actions taken in response to complaints, investigations undertaken and the feedback given to complainants, in line with the complaints procedure.
The quality of the care and treatment people experienced was monitored and action taken to promote people's safety and welfare. The registered manager and staff were committed to continually improving the service and what they could offer people living there. There was a strong person-centred culture which reflected the provider’s values.
The provider had a programme of ongoing investment to improve the environment. This included investing in technology and systems to improve both the environment and people’s experiences of care.
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 February 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.