Background to this inspection
Updated
4 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.
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 team consisted of one inspector.
Service and service type
Baycroft Kempston 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.
Inspection activity started on 19 May 2021 and ended on 26 May 2021. We visited the service on 19 May 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority. 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. We used all of this information to plan our inspection.
During the inspection
On the day of our visit we spoke with two people who used the service about their experience of the care provided. We also spoke with five members of staff including the registered manager, clinical lead, registered nurse, senior care worker and the activity co-ordinator. We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision.
After the inspection
Following our visit, we spoke with three relatives over the telephone. We continued to review a variety of records relating to the management of the service, including policies and procedures, training data and quality and assurance records. We continued to seek clarification from the provider to validate evidence found.
Updated
4 June 2021
About the service
Baycroft Kempston is a ‘care home’ providing accommodation, nursing and personal care to nine people aged 65 and over at the time of the inspection. The service can support up to 80 people. The home is built over three floors with all bedrooms containing an ensuite wet room. Communal areas are also located on each floor.
People’s experience of using this service and what we found
People and relatives spoke positively about the service and provided feedback which included, "The home is lovely, the staff go above and beyond." And, "The level of care given is outstanding. Staff take time to make sure care is individual to the person. It is the best decision we made moving [person] to the home." Another relative told us, “I am very confident in the care provided. Staff take time to find out about [person's] preferences, life and interests.”
Care plans and risk assessments were completed in partnership with people, staff and their relatives. Information was tailored to individual needs and provided guidance and direction for staff to deliver person centred care.
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.
There were enough staff to meet people’s needs. Relatives told us the staff team were consistent and familiar with people’s needs. Staff completed a robust induction process and were confident in their role. The registered manager promoted staff development and encouraged staff to attend additional training to enhance their skills and knowledge.
Staff encouraged people to maintain their interests and hobbies. The activity co-ordinator was passionate in developing and providing a range of activities and made these available to all at the service.
A range of audits including satisfaction surveys were completed by the registered manager. The findings of these were shared with staff and used to drive improvement in the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 29/11/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was first registered with the CQC.
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.
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.