We carried out a review of the data available to us about Bakewells Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bakewells Care Home, you can give feedback on this service.
We found the following examples of good practice.
All visitors were screened for symptoms of infection before being allowed to enter the home. The home had facilities for people to wash their hands or sanitize on entering and leaving the home. Information was easily accessible on arrival to ensure visitors followed guidance.
The home had a visiting ‘pod’ to help facilitate visits safely. There was a booking system in place for visits. Communal areas and the extensive garden were used creatively to help with infection prevention and control.
The provider understood and complied with the vaccination requirements for visitors to the service.
The service took the temperature of all visitors and staff to help screen people for COVID-19. Temperatures were logged in their signing in book, which would help facilitate the track and trace system the government has introduced, if there was an outbreak.
The home had a staff wellbeing folder in place to signpost staff to places where they could get support.
Staff spent time with people at the beginning of the pandemic to show them what they looked like in personal protective equipment (PPE) to reduce people’s anxiety.
At the beginning of the pandemic the home worked with the GP to help risk assess people.
The home had a designated infection prevention and control lead.
Further information is in the detailed findings below.
Bakewells is a residential care home which provides high quality accommodation and personal care for up to 34 people. On the day of the inspection the home had full occupancy and an extensive waiting list.
The home has a purpose-built extension to the main part of the home providing care for eight people living with dementia. This part of the home is known as The Deane which had been designed to an excellent standard and in line with best practice guidelines.
People’s experience of using this service:
The Bakewells provided people with an outstanding service. People, relatives and healthcare professionals continue to describe the service as exceptional and extremely responsive to people's needs.
The service was exceptional in placing people at the heart of the service and its values. It had a strong person-centred based ethos.
People were supported by an excellent staff team that knew them well and understood their needs and preferences.
Staff were exceptionally well trained both in essential training and in some specialist training. The service had ensured resources and skilled staff were available to support people and the provider has appointed a number of staff as champions in certain topics. For example, end of life care, infection control, health wellbeing and dementia care.
People spoke positively about feeling safe and secure, and felt able to tell someone within the home if they were worried or concerned.
There was a robust safeguarding system in place and staff were aware of the procedures and how to raise concerns.
The staff recruitment process was robust to ensure that the provider employed suitable staff to work with vulnerable people.
Positive risk assessments were in place which supported people to develop and maintain their independence whilst keeping them safe.
People's care and support plans were detailed and followed in practice.
People were supported to express their views and have choice over aspects of their daily lives.
There was a wide range of activities both indoors and outdoors. People had been introduced to new activities and friendships.
Consent was recorded where people had capacity to do so and for those people who lacked capacity best interests’ decisions were also recorded.
The management of medicines was safe, and people received their medicines in a timely manner as prescribed.
People received a healthy, well balanced and nutritious diet. People had been consulted and involved in the planning of new menus.
Up to date policies and procedures were available and staff had access to these when needed.
Regular audits were carried out; people were asked their views in person and via satisfaction questionnaires and changes were quickly made if issues were identified. The service learned from incidents, concerns or accidents to help prevent any reoccurrence.
Systems were in place to monitor and respond to any complaints and concerns and actions taken appropriately.
The leadership and management team were praised by staff and people receiving a service for their commitment and passion for care.
The provider who is also the registered manager worked closely with other healthcare professionals and attending provider forums and was actively involved developing new care strategies.
Rating at last inspection:
At the last inspection 01 June 2016, the service had been rated as overall good with an outstanding rating in the effective domain. The report was published on 01 November 2016.
Why we inspected:
This was a scheduled inspection, based upon the last rating.
Follow up:
We will continue to monitor information and intelligence we receive about the service and will revisit the service in line with our inspection timescales. However, if any information of concern is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
We undertook this unannounced inspection on 01 June 2016. The last inspection was completed on 02 February 2013 and the service was meeting the regulations we assessed.
Bakewells provides residential care and support for up to 34 people. The main part of the home has maintained many of the original features. In 2014 the home had a purpose built extension added to the main building known as The Deane. The Deane cares for up to eight people living with dementia. The Deane had been designed to an excellent standard incorporating the best practice guidelines set out by Stirling University
The Deane has a secure entry system, spacious communal areas with plenty of light and large bedrooms with en-suite facilities. The Deane opens out into a large garden which has been purposely designed with a sensory area full of colour and aromatic smells. There is a large rabbit hutch and run so people can sit and watch the rabbits playing.
The registered manager is the registered provider and has been in post for 17 years. The registered manager is also a registered nurse. A registered manager is a person who is registered with The Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibilities for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
All the staff we spoke with said the registered manager and the Managing Director were dedicated, supportive and approachable. They said whatever people needed was provided to ensure people had the best quality of life they could achieve.
People we spoke with were settled and contented. Relatives and friends visiting the home told us they only had positive experiences and praise for this service. Staff treated people as individuals with dignity and respect.
Staff were knowledgeable about people’s likes, dislikes, preferences and care needs. They approached people using a calm, friendly manner which people responded to positively.
The registered manager and all the staff we spoke with were passionate about providing a
service that placed people and their families at the very heart of the service. This was confirmed with us through speaking with relatives and visitors.
Staff told us they enjoyed working in both areas of the home. They received training in caring for people living with dementia. For example, The Jewels in Dementia Care. This is a recognised model of caring for people living with dementia. It explains the way of caring for people living with dementia using the analogy of Five Precious Jewels which is easy to remember. It is a dignified terminology and a practical tool for best practice care suitable for anyone caring for people living with dementia.
Staff we spoke with told us how they encouraged and supported people to make decisions for themselves, which ensured people were able to live the life they chose.
Staff had received training about how to ensure people’s rights were respected and how to safeguard people from abuse. They were able to describe the different types of abuse that may occur and said they would report any issues straight away. Staff told us how they were openly
encouraged to raise any issues which were then reported to the local authority for them to consider under their safeguarding of vulnerable adults procedures. This helped to protect people who used the service.
Risk assessments and detailed care plans were in place. This helped staff to deliver the care and support people needed. There were robust medication systems in place to ensure that people who used the service received their medicines as prescribed.
People were offered appropriate food and fluids to maintain their nutrition and hydration. The catering team took pride in serving appetising and nutritious food. Those who required prompting or support to eat were assisted by patient and attentive staff which ensured that people’s nutritional needs were met.
A wide range of activities were available which people’s family and friends also were invited to take part in. Spontaneous activities took place, staff spent quality time with people to give them emotional support and comfort. Staff were seen reminiscing with people about their life, discussing the newspaper headlines of the day and sitting chatting with people. People were encouraged to pursue their own hobbies and interest such as knitting, drawing, using their tablets/IPad and completing word puzzles.
There were sufficient staff on duty to meet people’s needs. If people were upset or unwell and more staff were required, this was provided straight away to support people. Relatives of people who had been unwell said they were kept fully informed.
Bakewells was the first residential home in Bolton to achieve the nationally recognized Investor in People award. This award demonstrated the home’s commitment to staff training and development which enhances the care experience of the individual residents and their families.
The service had been awarded a 5 Star rating by the food hygiene standard board. This is the highest attainable rating.