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Inspection Summary


Overall summary & rating

Good

Updated 2 May 2019

About the service: Baytrees Nursing Home is a residential care home that provides personal and nursing care for up to 30 people. At the time of the inspection, 22 people were living at the home. The home supports people with a variety of healthcare needs, including multiple sclerosis, Parkinson’s disease and Huntington’s disease. The ages of people range from younger adults to older people.

The service met the characteristics of Good overall.

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

People’s experience of using this service:

¿Significant improvements had taken place since the last inspections took place in January and July 2018. However, there were still areas in need of further improvement to ensure people received a consistent, good standard of care. Further work was needed to sustain and embed the improvements made. The registered manager acknowledged she had not completed registered nurses’ competences to administer medicines and that this was work in progress.

¿ People were complimentary about the home and were happy living there, but some people felt that staff were too busy to spend time with them. One person told us, “I’d like to go out, but I will need someone to go with me and there aren’t the staff”. Since the activities co-ordinator had left, there was a lack of organised activities for people and staff did not have time to spend with people outside their caring responsibilities. The provider and registered manager were aware of this and a new activities co-ordinator had been recruited and was due to start the following week. Records showed and we observed that, staffing levels were sufficient to keep people safe.

¿New staff were recruited safely. The majority of staff had received supervisions in 2019 and other staff were due to have supervisions. Staff had completed all the training required to enable them to provide care and support to people in line with best practice. Medicines were managed safely. Care plans had been updated and provided detailed information about people with guidance for staff. People’s risks had been identified and assessed and were managed to mitigate risks.

¿People told us they felt safe living at the home. Staff had completed training in safeguarding and knew what action to take if they suspected abuse was taking place. People’s capacity to make decisions had been assessed. No-one was deprived of their liberty unlawfully. People enjoyed the meals on offer and special diets were catered for. People had access to a range of healthcare professionals and services.

¿People were looked after by kind and caring staff who knew them well. People were treated with dignity and respect and encouraged to be involved in decisions relating to their care and support. People and staff felt the service was well led. They were asked for their views about the service through surveys, residents’ meetings and staff meetings. The provider and registered manager understood their responsibilities under the duty of candour. People’s diverse needs were met.

Rating at last inspection: At the last inspection, this service was rated as Requires Improvement The last inspection report was published in July 2018.

Why we inspected: We were required to inspect this service within 12 months of the last inspection because of the rating of Requires Improvement. The provider sent us an improvement plan after the last inspection which outlined the actions they proposed to take to address the issues of concern. This inspection took place to check on the improvements made and in line with CQC scheduling guidelines for adult social care services.

Follow up: We will review the service in line with our methodology for ‘Good’ services.

Inspection areas

Safe

Good

Updated 2 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 2 May 2019

The service was effective

Details are in our Effective findings below

Caring

Good

Updated 2 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 2 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 2 May 2019

The service was not always well-led

Details are in our Well-Led findings below.