Bushmead Court Residential Home

Updated 25 August 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 12 August and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 25 August 2020

Bushmead Court Residential 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 home can accommodate up to 27 older people who have a range of care needs including dementia and physical disabilities. The accommodation is arranged over three floors and can be accessed using the passenger and stair lifts provided. There are 23 bedrooms and a choice of communal areas, including accessible outside space. At the time of this inspection there were 21 people living at the home.

At the last inspection in October 2015, the home was rated Good. During this inspection, which took place on 18 January 2018, we found the home remained Good.

Why the home is still rated Good:

People were protected from abuse and avoidable harm. Staff had been trained to recognise signs of potential abuse and knew how to keep people safe. Processes were also in place to ensure risks to people were managed safely.

There were sufficient numbers of suitable staff to keep people safe and meet their needs. The provider carried out checks on new staff to make sure they were suitable and safe to work at the home.

People received their medicines when they needed them. Systems were also in place to ensure people were protected by the prevention and control of infection.

There was evidence that the home responded in an open and transparent way when things went wrong, so that lessons could be learnt and improvements made.

People received care and support that promoted a good quality of life and was delivered in line with current legislation and standards. Staff received training to ensure they had the right skills, knowledge and experience to meet people’s needs.

People were supported to have enough food and drink to maintain a balanced diet. Risks to people with complex eating and drinking needs were being managed appropriately.

Staff worked with other external teams and services to ensure people received effective care, support and treatment. People had access to healthcare services, and received appropriate support with their on-going healthcare needs.

The building provided people with sufficient accessible space and modified equipment to meet their needs.

The home acted in line with legislation and guidance regarding seeking people’s consent. People were supported to make their own decisions as far as possible.

Staff provided care and support in a kind and compassionate way. People were encouraged to make decisions about their daily routines and arrangements were in place to ensure appropriate support was provided for more complex decisions.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People’s privacy, dignity, and independence was respected and promoted.

People received personalised care and they were given regular opportunities to participate in meaningful activities, both in and out of the home.

Arrangements were in place for people to raise any concerns or complaints they might have about the home. These were responded to in a positive way, in order to improve the quality of service provided.

People were involved in making decisions about their end of life care needs, so if the need arose, staff would be prepared and able to carry out those wishes.

There was strong leadership at the home which resulted in people receiving high quality and person centred care. The registered manager ensured that staff understood their legal responsibilities and accountability. This approach had created a positive culture that was open, inclusive and empowering for the people living there.

Systems were in place to monitor the quality of the service provided and to drive continuous improvement. The registered manager and provider worked in partnership with key organisations and agencies for the benefit of people living at the home.

Further information is in the detailed findings below.