Bakewells Care Home

Updated 3 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 26 January 2022 and was announced. We gave the service 48 hours' notice of the inspection.

Updated 3 February 2022

About the service:

Bakewells is a residential care home which provides high quality accommodation and personal care for up to 34 people. On the day of the inspection the home had full occupancy and an extensive waiting list.

The home has a purpose-built extension to the main part of the home providing care for eight people living with dementia. This part of the home is known as The Deane which had been designed to an excellent standard and in line with best practice guidelines.

People’s experience of using this service:

The Bakewells provided people with an outstanding service. People, relatives and healthcare professionals continue to describe the service as exceptional and extremely responsive to people's needs.

The service was exceptional in placing people at the heart of the service and its values. It had a strong person-centred based ethos.

People were supported by an excellent staff team that knew them well and understood their needs and preferences.

Staff were exceptionally well trained both in essential training and in some specialist training. The service had ensured resources and skilled staff were available to support people and the provider has appointed a number of staff as champions in certain topics. For example, end of life care, infection control, health wellbeing and dementia care.

People spoke positively about feeling safe and secure, and felt able to tell someone within the home if they were worried or concerned.

There was a robust safeguarding system in place and staff were aware of the procedures and how to raise concerns.

The staff recruitment process was robust to ensure that the provider employed suitable staff to work with vulnerable people.

Positive risk assessments were in place which supported people to develop and maintain their independence whilst keeping them safe.

People's care and support plans were detailed and followed in practice.

People were supported to express their views and have choice over aspects of their daily lives.

There was a wide range of activities both indoors and outdoors. People had been introduced to new activities and friendships.

Consent was recorded where people had capacity to do so and for those people who lacked capacity best interests’ decisions were also recorded.

The management of medicines was safe, and people received their medicines in a timely manner as prescribed.

People received a healthy, well balanced and nutritious diet. People had been consulted and involved in the planning of new menus.

Up to date policies and procedures were available and staff had access to these when needed.

Regular audits were carried out; people were asked their views in person and via satisfaction questionnaires and changes were quickly made if issues were identified. The service learned from incidents, concerns or accidents to help prevent any reoccurrence.

Systems were in place to monitor and respond to any complaints and concerns and actions taken appropriately.

The leadership and management team were praised by staff and people receiving a service for their commitment and passion for care.

The provider who is also the registered manager worked closely with other healthcare professionals and attending provider forums and was actively involved developing new care strategies.

Rating at last inspection:

At the last inspection 01 June 2016, the service had been rated as overall good with an outstanding rating in the effective domain. The report was published on 01 November 2016.

Why we inspected:

This was a scheduled inspection, based upon the last rating.

Follow up:

We will continue to monitor information and intelligence we receive about the service and will revisit the service in line with our inspection timescales. However, if any information of concern is received, we may inspect sooner.

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