Background to this inspection
Updated
22 January 2020
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.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Bybuckle Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 an unannounced comprehensive inspection. The inspection was carried out on 6 January 2020.
What we did before the inspection
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 reviewed information from other agencies and statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. We used all of this information to plan our inspection.
During the inspection
We observed the support that people received and spoke with people and relatives to gain their feedback about Bybuckle Court.
We looked at a range of care records, including two people’s care plans and associated documentation. We reviewed daily records, looked at people’s medicine administration records (MAR) and observed medicines being given. We reviewed two staff recruitment files and records relating to the management of the home, procedures and quality assurance processes.
We spoke to seven people who live at Bybuckle Court and observed care to help us understand the experience of people who did not talk with us. We spoke to one relative, two visiting professionals and three members of staff including the registered manager and care staff.
After the inspection
We looked at training data, staff meeting minutes and provider visit information provided by the registered manager.
Updated
22 January 2020
Bybuckle Court is a residential care home providing care and accommodation for up to 16 older people. There were 16 people living at the service on the day of our inspection. Bybuckle Court is an adapted building in a residential area of Seaford. The home had a lift to assist people in accessing upper areas of the home. There was access to a small outside area with seating.
People’s experience of using this service and what we found
People and relatives were positive about the care and support people received at Bybuckle Court. Relatives felt that staff worked hard to support people and provide a good level of care.
People were supported to have choice, involvement in their care and remain as independent as possible. People chose how they spent their time. Staff supported people in the least restrictive way possible and policies and systems in the service supported this practice. People told us staff were kind and caring.
People and relatives were updated and felt involved in any changes to people’s care. Risks to people’s health and safety had been identified and risk assessments were in place to ensure risk was minimised. Staff were aware of the actions to take if they thought anyone was at risk of abuse or discrimination. Concerns identified had been reported to appropriate external professionals.
A complaints procedure was in place and although there were no current complaints, people were aware of the process.
People and relatives spoke positively about staff and felt staff knew people well. People confirmed that they were treated with dignity and respect. Staff were able to tell us about people’s background and preferences and demonstrated a good understanding of people's individual needs. People were assisted to access healthcare services when needed and any external healthcare involvement was used to ensure people received appropriate care.
People received their medicines when they needed them by staff who were trained to give them out safely. Recent changes to medicines procedures had been implemented and well communicated to people and staff.
There were enough staff working to provide the support people needed, at times of their choice.
Recruitment procedures ensured only suitable staff worked at the home. Staff received training and support to ensure they were able to meet people’s health and care needs.
Quality systems and monitoring completed by the registered manager and senior staff facilitated on going improvement of services provided.
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 6 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.