Baytree Court

Updated 19 November 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.

Inspection team

The inspection was carried out by one inspector and a medicines inspector. An Expert by Experience spoke to relatives and people who live at the service by telephone following the site visit. 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

Baytree Court 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. Baytree Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 seven people who used the service and eight relatives to ask about their experience of care provided. We spoke with the registered manager and deputy manager, six members of staff and one healthcare professional. We looked at three care files along with a range of medication records (MARs). We looked at records relating to the management of the service including recruitment, staff training, supervision and systems for monitoring quality.

Updated 19 November 2022

About the service

Baytree Court is residential care home providing personal care to up to 34 people. The service provides support to older people and people with dementia. At the time of our inspection there were 27 people using the service.

Baytree court accommodates people in one adapted building across two floors, each of which has separate adapted facilities. One of the floors specialises in providing care to people living with dementia.

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

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 had effective safeguarding, systems and policies in place and managed safeguarding concerns effectively and promptly. Lessons are learned and communicated to improve care.

Risk assessments were person centred and reviewed regularly. People were given choices and had as much control and independence as possible. Staff understood their responsibility to raise concerns and report incidents and near misses and felt supported to do so.

There was always enough competent staff on duty to care for people. Staffing levels were reviewed as people’s needs changed. Recruitment systems were robust and ensured the right staff were recruited to support people safely.

Staff had the right qualifications, competence and skills to carry out their role. All staff completed a comprehensive induction.

Medicines were managed safely. Medicines were stored correctly and disposed of safely.

Assessments of people’s needs were comprehensive, and outcomes were identified, care and support was regularly reviewed and updated. Appropriate referrals were made to make sure people’s needs were met. One professional told us “The staff and registered manager are very responsive, and people’s needs are always addressed.”

People had access to sufficient food and drink. The dining environment was pleasant and there were enough members of staff to provide personal support. One relative said “[Persons name] enjoys her food, she is very picky, but I have never heard her say a bad word about the food.”

People were treated with dignity, respect and kindness. Relationships with staff were positive and people felt supported by staff that care about them. People have as much choice and control of their lives as possible.

People were encouraged to access activities that were meaningful to them. People and their families were supported in a meaningful way and were encouraged to attend meetings to give feedback about the service.

The service was consistently well led and had a positive culture that was person centred, open, inclusive and empowering. Staff understood their role and responsibilities, were motivated and had confidence in the registered manager. Staff told us the registered manger was very approachable and fair.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 28 August 2020 and this is the first comprehensive inspection where we have rated all key questions.

The last rating for the service under the previous provider was good (published 17 September 2019.)

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.

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