Background to this inspection
Updated
6 July 2021
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.
As part of this inspection we also looked at the providers infection control arrangements, so we could understand the preparedness of the service in preventing or managing an infection outbreak.
Inspection team
The inspection was carried out by one inspector and a specialist advisor (SpA). The SpA was a social worker with experience of supporting people with mental health needs.
Service and service type
Bavani Care Home Limited is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Care Quality Commission (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 CQC. 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 all the 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 in-person with five people who lived at the care home, the registered manager, a support worker, a domestic cleaner and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We looked at a range of records. This included two people’s care plans, seven staff files in relation to their recruitment, training and support they received, and multiple medication administration record sheets. A variety of other records relating to the management and oversight of the service were also read.
After the inspection
We received telephone and/or email feedback from a relative and a community mental health care professional who shared their experiences about the service with us.
Updated
6 July 2021
About the service
Bavani Care Home Limited can provide accommodation and personal care to a maximum of nine people in a single adapted building. At the time of our inspection seven people were living at the care home. The service specialises in supporting younger and older adults with mental health needs.
People’s experience of using this service
People told us they were happy with the standard of care and support provided at this care home.
People were cared for and supported by staff who knew how to manage risks they might face. However, although we found people were kept safe and not at risk of harm, we have made a recommendation about improving how staff develop and record people’s risk management plans.
The premises were kept hygienically clean and staff followed current best practice guidelines regarding the prevention and control of infection including, those associated with COVID-19. Medicines systems were well-organised, and people received their prescribed medicines as and when they should. The service was adequately staffed by people whose suitability and fitness to work in an adult social care setting had been properly assessed.
The provider ensured staff had the right levels of training and support they needed to deliver effective care and support to people living at the service. 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. People lived in a suitably adapted care home that met their needs. The care home was decorated and furnished to an adequate standard. People were supported to access food and drink that met their dietary needs and wishes. People were supported to stay healthy and access community mental and other relevant health care professionals as and when required.
People were treated equally and had their human rights and diversity respected. Staff treated people with respect and dignity and upheld their right to privacy. People were encouraged and supported to maintain and develop their independent living skills. People were encouraged to make decisions about the care and support they received and had their choices respected.
Care plans were in place for everyone who lived at the service, which helped staff meet their emotional, personal and health care needs. Staff ensured they communicated and shared information with people in a way people could easily understand. People were supported to participate in activities that reflected their social interests and to maintain relationships with people, that were important to them. People’s concerns and complaints were listened to and investigated by the provider. Plans were in place to help people nearing the end of their life receive compassionate palliative care in accordance with their needs and wishes.
The provider recognised the importance of learning lessons when things went wrong and were keen to continuously improve the service. The quality and safety of the service people received was routinely monitored by the services management team. The provider promoted an open and inclusive culture which sought the views of people living in the care home, their relatives, community health and social care professionals and staff working at the care home. The provider worked in close partnership with various community mental health and social care professionals and agencies to plan and deliver people’s packages of care and support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last overall rating for this service was requires improvement (published 24 July 2020). At this inspection we found enough improvement continued to be made and sustained by the provider to ensure they were now rated good overall and for all five key questions.
Why we inspected
This was a planned comprehensive inspection based on the previous rating.
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.
Follow up
We will continue to monitor the service and information we receive about them. If we receive any concerning information we may inspect sooner.