Updated 8 September 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.
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 carried out by one inspector.
Service and service type
Buddleia 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 had a manager 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
This inspection was unannounced; however, on day one of our inspection we called the home from the car park and gave the person in charge short notice before we entered the home. This was to ensure we were informed of the home's COVID-19 status and procedure for visiting healthcare professionals. We gave the registered manager a day’s notice before day two.
What we did before the inspection
The provider was in the process of completing the required Provider Information Return and we received this information after our 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. We reviewed information we had received about the service. We sought feedback from the Local Authority, the Local Infection Prevention and Control Body, the Fire Prevention Officer and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one friend of a person who was living in the home, about their experience of the care provided. We spoke with eight members of staff including registered manager, house leader, nurse quality manager, care and development manager, domestic staff, maintenance person and chef. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. 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 additional three care records, training data, evidence of good practice and quality assurance records. We spoke with three staff members, four relatives and we requested feedback from relatives via e-mail.