Archived: Breadstone Care Home with Nursing

Updated 20 April 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Breadstone Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection took place on 25 March 2021 and was announced.

What we did before the inspection

We reviewed all the information we had received about this service since the last inspection. This included information of concern, information from the provider and feedback from commissioners of the service and healthcare professionals. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, operations manager, a housekeeper, a nurse and three care staff. We also spoke with three people, one person’s relative and a GP. We reviewed the care and risk assessments of four people. We reviewed records relating to people’s care needs, infection control and how the service supported people.

Updated 20 April 2021

This inspection took place on 17 and 19 April 2018 and was unannounced.

Breadstone Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Breadstone Care Home with Nursing accommodates up to 35 people in one adapted building. There were 26 people living at the home at the time of this inspection. The service will be described as Breadstone throughout this report.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The previous inspection was completed in October 2016. The service was rated as Requires Improvement and there was one breach of regulation in relation to person centred care at that time. People's care plans were not comprehensive, up to date or person centred. We found the provider had met the requirements of the regulation breached during this inspection. Care plans had been updated, reviewed and reflected each individual's needs. The service was rated as Good at this inspection.

Medicines were managed safely and people received their medicines as prescribed. Health and safety checks were carried out regularly to ensure the service was safe for people living there. There was a robust recruitment process to ensure suitable staff were recruited. The service had effective arrangements to respond to incidents, accidents, concerns and safeguarding events.

People were supported to access health professionals when required. Changes to people’s needs were identified promptly and were reviewed with the involvement of other health and social care professionals where required. People could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities. People were supported in an individualised way that encouraged them to be as independent as possible.

People and their relatives were positive about the care and support they received. They told us there was sufficient staff on duty and staff were caring and kind and they felt safe living in the home. We observed staff supporting people in a caring and patient way. Staff knew people they supported well and were able to describe what they liked to do and how they liked to be supported.

The service was responsive to people’s needs. Care plans were person centred and detailed to support staff to provide consistent, high quality care and support. Daily records were detailed and provided evidence of person centred care. People were treated equally and their differences respected, accepted and celebrated.

The service was well led. Quality assurance checks were in place and identified actions to improve the service. Staff and relatives spoke positively about the management team. From looking at the accident and incident reports, we found the provider was reporting to us appropriately.