Background to this inspection
Updated
1 August 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
Our inspection was completed by one inspector.
Service and service type
Bathurst Lodge is a 'care home' that provides accommodation for up to six people who require personal care. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager who was registered with the Care Quality Commission. 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.
Notice of inspection
The inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the site visit
We reviewed the information we had received about the service since the last inspection. This included previous inspection reports and details about incidents the provider must notify us about, such as abuse, serious injuries and deaths. We used information the provider sent us in their Provider Information Return as part of our Provider Information Collection. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We visited Bathurst Lodge on 1 July 2019. We spoke with the registered manager, deputy manager and two care workers. We spoke with two people who used the service. We observed staff interacting with people throughout the day, including supporting people with various activities. We reviewed a range of records. This included three people's care records, three staff recruitment files and staff training and supervision records. We also reviewed records relating to the management and monitoring of the service.
After the inspection
We sought feedback from a family member about Bathurst Lodge.
Updated
1 August 2019
About the service
Bathurst Lodge is a care home operated by Holmleigh Care Homes Limited. The service provides support, personal care and accommodation for up to six people. It provides care to adults living with a learning disability, autism and behaviours that may challenge. Six people were living at the home at the time of our inspection.
People’s experience of using this service and what we found
Since our last inspection the service had made changes to the management team at Bathurst Lodge. The management team had ensured there was effective oversight and governance of the service. The quality of care provided and staff interactions were closely monitored to ensure a caring ethos was evident and maintained. The managers of the service worked alongside staff to ensure that any issues were managed and priorities in relation to the quality of support were identified and acted upon promptly.
People's independence was respected and promoted. The support provided to people focused on them having opportunities to personally develop and maintain relationships. People received a consistent level of care from a team of care workers. There were enough staff employed to meet people's needs.
Staff communicated with people effectively to ascertain and respect their wishes. Safe recruitment practices were followed to protect people from unsuitable staff.
People received personal care that was person-centred and individualised. People's communication needs were identified, recorded and highlighted in care plans. People had access to documents in large fonts and pictures and symbols were used to support people to understand the information presented to them..
People were supported to access health services when needed. People's care plans provided staff with information about people's preferences and ways in which staff could support people emotionally and effectively when attending their healthcare visits.
Staff at the home supported people with the activities they enjoyed. Staff were responsive to people and their social health needs and people were encouraged to be as independent as possible.
People were protected from abuse and harassment and received appropriate support to take their medicines safely as and when required.
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 service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Rating at last inspection
The last rating for this service was Good (published 10 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk