Background to this inspection
Updated
6 June 2023
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 one inspector.
Service and service type
Badgers House 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. Badgers House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
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 looked at information we had received about the service since the last inspection. This included the statutory notifications the provider had sent to CQC. A notification includes information about important events which the service is required to send us by law.
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 spoke with one person living at the service and 3 relatives. Some people were not able to share their views with us, but we observed care and the atmosphere of the home to help us understand their experience.
We spoke with 5 members of staff, including the registered manager. We received feedback from 4 professionals who worked with the service. The views of everyone we spoke with have been incorporated into this report.
We viewed a range of records and documents. This included 4 people’s care records and all medicine records. We spoke with the provider’s recruitment team and checked training and supervision records. We checked a variety of records relating to the management of the service. This included policies and procedures, quality assurance checks and health and safety documents.
We considered this information to help us to make a judgement about the service.
Updated
6 June 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Badgers House Care Home is a residential care home providing accommodation and personal care to up to 6 people. Six people were living at the service at the time of our inspection. Badgers House Care Home supports people with learning disabilities and autistic people. People live in individual flats across two houses on the same site.
People’s experience of using this service and what we found
Right Support
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.
Staff knew people well and communicated with them effectively to ensure they were involved in discussions which affected them as far as possible.
Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.
The service gave people care and support in a safe and clean environment which met their needs.
People had a choice about their living environment and were able to arrange and decorate their flats in the way they preferred.
Staff supported people to access specialist health and social care support in the community. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Care
Staff promoted equality and diversity in their support of people. They understood people’s cultural needs and provided culturally appropriate care.
People received kind and compassionate care. Staff communicated clearly and understood and responded to people’s individual needs consistently. People who had individual ways of communicating could be understood and interact comfortably with staff.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Staff worked with people, relatives and other professionals to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
Right Culture
People were supported by staff who understood the needs of individuals. This meant people received compassionate support which was tailored to their needs.
Staff were able to meet people’s needs and wishes and provide good quality support. They knew and understood people well and respected people’s choices.
Staff regularly reviewed and evaluated the support provided. Relatives and advocates provided support and people were involved in planning their care where possible.
There was a culture of continuing development and improvement. There were effective systems and checks, and staff received training to ensure they remained up to date and improved people’s quality of life with the support they provided.
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 22 September 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service and the time since our last inspection. We only reviewed the safe and well led key questions at this inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall 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.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Badgers House Care Home 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.