Background to this inspection
Updated
4 November 2023
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 team consisted of three inspectors.
Service and service type
Bishops Waltham House Care Home 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. Bishops Waltham House Care Home 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
The inspection was unannounced.
What we did before the inspection
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 12 people and a relative. We also spoke with 9 staff including the registered manager, the deputy manager, senior care staff, care staff, activities person, a housekeeper, the chef and the maintenance person. We also spoke with 2 representatives from the provider. We contacted 4 health and social care professionals to ask their views, we were able to get feedback from one of them and the local authority’s quality monitoring team. We had received feedback from 3 professionals as part of a monitoring assessment in July 2023.
We reviewed a range of records. This included elements of 6 people's care records and a sample of medication records. We looked at a variety of records relating to the management of the service, including training records, incident records, fire safety records, two staff recruitment files, and quality assurance processes.
We met with the registered manager to discuss governance using a TEAMS call on 23 October 2023.
Updated
4 November 2023
About the service
Bishops Waltham House Care Home is a residential service providing care and accommodation for up to 32 older people including those living with dementia. There were 27 people using the service at the time of this inspection.
People’s experience of the service and what we found:
The future of Bishops Waltham House Care Home was being considered, by the provider organisation Hampshire County Council, as part of a wider consultation about how to meet the counties long term care and nursing needs. People and staff were all very positive about their experiences of living, and working, in the home and this was an unsettling time for everyone. Staff were being well supported during this period of time, and people continued to receive compassionate and person-centred care.
People told us they felt the home was safe. Staff had received safeguarding training and safeguarding concerns had been responded to appropriately.
The risks people faced were assessed and actions identified to reduce those risks in the least restrictive way.
People were supported by staff who had been recruited safely and received appropriate training, to enable them to meet people’s individual needs. There were enough staff to meet people’s needs.
Systems were in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and competency assessments.
People lived in a clean home, where staff understood how to reduce the risk of infection.
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. Staff supported people to maintain their skills and independence.
People were encouraged to provide feedback about the service they received, both informally and formally. People told us they were listened to.
People, staff and visiting professionals spoke positively about the management of the home. Staff understood their roles and responsibilities and felt supported by the management to raise any issues or concerns.
The quality of people’s experience was monitored, and action taken, when needed, to promote their safety and well-being.
Auditing and monitoring had identified the need to improve recording and actions were being taken to progress this.
There was an inclusive and person centred culture evident in the home. People commented on the control they retained over their lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published September 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Bishops Waltham House Care Home on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.