Baugh House Care Centre

Updated 23 June 2021

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 Care Act 2014.

Inspection team

One inspector and an Expert by Experience carried out the inspection. 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

Baugh House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 did not have a manager registered with the Care Quality Commission. The current manager had worked at the home since October 2020 and they were in the process of applying to CQC to become the registered manager for the home.

Notice of inspection

This inspection was announced. We gave the manager very short notice as we required information for the Expert by Experience to carry out their role.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection-

The Expert by Experience spoke with four people who used the service, and nine relative’s on the telephone. The inspector spoke with a relative, a visiting health care professional, a nurse, three care staff, a chef, the clinical lead, the deputy manager, the regional manager and the home manager. We reviewed a range of records. This included four people’s care records and medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 23 June 2021

Baugh House is a ‘care home’ providing personal and nursing care to 32 people at the time of the inspection. The service can support up to 60 people. The care home accommodates people on two floors, a residential floor and a nursing floor. Baugh House was providing care to some people living with dementia.

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

People told us they felt safe. There were safeguarding policies and procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks took place before staff started work and there were enough staff available to meet people’s care and support needs. Risks to people were assessed and staff were aware of the action to take to minimise risks where they had been identified. Staff were following advice and guidelines recommended by health care professionals. Medicines were managed safely. The service had procedures in place to reduce the risk and spread of infections and COVID 19.

People and their relatives had been consulted about their care and support needs. Assessments were carried out before people started using the service. People and their relatives knew how to make a complaint if they were unhappy with the service. There were procedures in place to make sure people had access to end of life care and support if it was required.

The provider took people, their relatives, staff and health care professional views into account through satisfaction surveys and feedback from these was used to improve the service. Relatives told us there had been improvements since the new manager started working at the home. Staff said they received good support from the new manager and staff moral had improved. The manager and staff worked with health and social care professionals to drive improvement and to deliver an effective service.

Rating at last inspection and update: The last rating for this service was requires improvement (published 30 July 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Caring, Responsive and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Baugh House Care Centre on our website at www.cqc.org.uk.