Baytrees Nursing Home

Updated 29 June 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

The inspection was undertaken by one inspector.

Service and service type

Baytrees Nursing Home 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. Baytrees Nursing Home 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, including notifications which the provider is required to send to 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 four people about their experience of using the service. We spoke with the nominated individual who is responsible for supervising the management of the service on behalf of the provider. We also spoke with the registered manager, two registered nurses, a senior carer, and a healthcare professional who was visiting the home at the time of the inspection.

We reviewed a range of records including five care plans and medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 29 June 2022

About the service

Baytrees Nursing Home is a residential care home providing personal and nursing care to up to 30 people with a variety of health care needs, such as Parkinson’s disease, stroke or frailty of old age. At the time of our inspection there were 27 people using the service in one adapted building.

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

Some medicines had not been disposed of as required. Prescription labels for some of these had been removed and the medicines retained in stock. Some medicines had been removed from their packaging so it was not clear who the medicines had been prescribed for. People were at risk of receiving medicines that had not been prescribed for them.

Systems for monitoring and measuring the service overall had not identified issues found at this inspection.

The home was clean and well-maintained. One person said, “They come in and clean my room. If I’m sleeping, they won’t disturb me. They keep the house clean and if they didn’t, they’d get an earful from the boss!”

People felt safe living at the home, and staff were trained to recognise signs of potential abuse and how to protect people from the risk of harm. There were sufficient trained staff to meet people’s care and support needs, and new staff were recruited safely.

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.

People’s diverse needs were recognised and catered for by staff who felt supported in their roles. One person said, “I think it’s good here, it’s all right”.

Residents’ meetings were organised and enabled people to comment about the care they received; these were reviewed and actions taken if needed.

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 21 July 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Baytrees Nursing Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified a breach in relation to the disposal and storage of some medicines at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.