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Inspection Summary


Overall summary & rating

Good

Updated 21 July 2021

About the service

Baytrees Nursing Home is a care home providing personal and nursing care for people

living with a variety of mental health and complex physical health needs. The home supported one person living with a learning disability. There were 28 people living at the service at the time of inspection, the ages of people varied from younger adults to older people. The service can support up to 30 people.

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

People had a wide range of needs and diverse backgrounds, they received individualised support from staff. People were relaxed in the company of staff and we observed friendly interactions. One person told us, "I like to have people around who knows about my condition and how to help me."

People’s needs were met by trained and confident staff. Staff described training opportunities provided to ensure appropriate support for people. Due to people’s complex needs, adaptations and equipment were available for individual’s use. The service sought professional input to improve outcomes for people. A visiting professional told us, "Residents are cared for well and I see the same staff which is good.”

People were supported to make their own choices which were respected. For example, staff offered drinks and people requested a large variety of drinks. One person told us, "The food is the best ever, they supply a menu and you just tick the boxes of what you want."

People confirmed they felt comfortable to speak with staff. One person told us, "The staff are very discrete here, if I ever want to ask for something or talk in private, they will come to my room or we will go somewhere private." People and their relatives were confident in the registered manager and knew them by name. A relative told us, “I have had no cause to complain, if I did, I would speak to staff or [registered manager’s name], we know them all we have such a laugh when we are there.”

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of Safe and Well led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• Model of care and setting maximises people's choice, control and Independence. People had access to professional advice and equipment to maximise their independence.

Right care:

• Care is person-centred and promotes people's dignity, privacy and human rights. Staff demonstrated how individualised support was offered to people.

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People’s consent and views were valued by staff and management, improvements had been made to the environment with people’s input.

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 2 May 2019).

Why we inspected

This inspection was prompted by our data insight that assesses potential risks at services, concerns in relation to aspects of care provision and previous ratings. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. This enabled us to look at the concerns raised and review the previous ratings.

We

Inspection areas

Safe

Good

Updated 21 July 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 July 2021

Caring

Good

Updated 21 July 2021

Responsive

Good

Updated 21 July 2021

Well-led

Good

Updated 21 July 2021

The service was well-led.

Details are in our well-Led findings below.