Background to this inspection
Updated
23 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 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 inspection was carried out by two inspectors.
Service and service type
Banstead Manor Care Home 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. The inspection was undertaken on 15 June 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the interim home manager, area manager, kitchen staff, senior care workers, care workers and the interim clinical lead. The registered manager was away from the service at the time of the inspection and the provider had appointed an interim home manager. We observed interactions between staff and people who used the service.
We reviewed a range of records. This included five 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 spoke with four relatives to hear their feedback about the care provided. We looked at training data and quality assurance records. We spoke with one professional following the inspection. We sought feedback from healthcare professionals who regularly visit the service.
Updated
23 July 2021
About the service
Banstead Manor Care Home is a residential care home providing personal and nursing care for up to 77 people. The service is set across three floors. One floor is adapted for people living with dementia. There were 44 people living at Banstead Manor Care Home on the day of the inspection, some of whom were living with dementia.
People’s experience of using this service and what we found
People told us staff were kind and caring and they felt safe at the service. There were sufficient staff to support people effectively. Staff were aware of risks related to people’s care and how to support people appropriately. People received their medicines on time and were supported to take them independently where they wished to.
We were assured the service were following safe infection prevention and control procedures to keep people safe.
Care plans were person-centred and included information on risks associated with people’s care and the steps staff should take to ensure appropriate care was provided. Safety checks of the premises and equipment had been completed regularly. There were plans in place to protect people in the event of a fire and other emergencies.
People told us they had access to healthcare professionals and care records we reviewed confirmed this. Staff had received regular training and supervisions to perform in their role and were supported in their progression.
People were provided with a range of group and one-to-one activities. Staff had considered the risk of social isolation and records we reviewed confirmed regular checks had been completed where this was appropriate.
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.
There were systems in place to monitor the quality of care provided. People and relatives told us they knew how to complain and were confident complaints would be listened to and addressed appropriately. People , relatives and staff told us they felt there was a positive culture at the service that actively engaged with them; and that the service was managed effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 24 May 2019 and this is the first comprehensive inspection of the service. The service was inspected previously in the key areas of safe and well-led but no overall rating was provided (published 20 January 2021).
Why we inspected
This inspection was prompted by our data insight that assesses potential risks at services, concerns in relation to aspects of care provision and as an overall rating has not been provided since the service first registered with the Care Quality Commission. As a result, we undertook a comprehensive inspection of all five key areas.
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 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.