Badgeworth Court Care Centre

Updated 23 July 2022

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 Health and Social Care Act 2008.

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

This inspection was carried out by two inspectors and an Expert by Experience. 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

Badgeworth Court Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Badgeworth Court Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

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 sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed staff interacting with people and looked at the premises. We spoke to seventeen members of staff including the registered manager, the regional director, the clinical development nurse, the dementia care specialist, the head chef and second chef, the head of maintenance, two senior carers, three care staff, two members of the housekeeping team, two nurses and the administrator.

We spoke to five people who use the service. We also spoke to eight people's relatives and two professionals visiting the service. We reviewed a range of records. This included three people's care records and records related to medicines. We looked at five staff files in relation to recruitment and a variety of records relating to the management of the service, including audits and safety checks were reviewed.

After the inspection we looked at the evidence submitted electronically by the provider. We received feedback from one professional who regularly visits the service.

Updated 23 July 2022

About the service

Badgeworth Court Care Centre is a residential care home which provides personal and nursing care to 60 older people and people living with dementia. There were 52 people living in the home at the time of our inspection. Badgeworth Court Care Centre is set across three units, it has a range of communal areas and gardens which people could access.

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

People and their relatives told us they felt safe living at Badgeworth Court Care Centre. They also spoke positively about the quality of care received.

People received personalised care which was exceptional, and the service was outstandingly responsive to the needs of people and particularly to the changing needs of people living with dementia. The service used the Dementia Care Well-being framework to support and enrich the life of people living with dementia. Activities available to people were personalised and they had been supported to build links with the local community.

Working in a sector with significant workforce challenges, the staffing team spoke with pride about the consistency of care they could offer people by not using agency staff and implementing a whole home approach when needed. The registered manager told us: “They [staff] go above and beyond” and that they were very proud of their team.

Staff understood people's needs and how to assist them to protect them from avoidable harm. Care plans and risk assessments were in place, which provided staff with guidance on how to meet people's needs and manage identified risks.

People were supported to receive their medicines safely and as prescribed.

People were supported by staff who had been trained and supported to meet their needs. People and their relatives were very complimentary about the caring nature of the staff.

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.

The registered manager and extended leadership team offered exceptional leadership and had a clear vision about the service. There were robust quality assurance systems in place to ensure people received the best possible service. The registered manager worked closely with the provider, partner agencies and services to promote best practice within the service and make a positive impact to people's lives.

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 25 June 2019)

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

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.

You can read the report from our last inspection, by selecting the 'all reports' link Badgeworth Court Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.