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Inspection Summary


Overall summary & rating

Good

Updated 5 November 2019

About the service

Buckingham House is a care home with Nursing. It can accommodate up to 53 people. At the time of the inspection 45 older people some of whom were living with dementia lived at the home. Accommodation was over three floors. The second floor had been opened in the summer to offer more independent living accommodation for people. People had access to a range of seating areas and well-maintained small garden area on the ground floor.

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

People and their relatives told us Buckingham House was “Homely,” " Welcoming, friendly and had kind staff.” Relatives told us the environment was “A breath of fresh air” and “The level of cleanliness is high.”

People were supported by staff who had been recruited to ensure they had the right skills and attributes to work at the home. The home had occasional support from external temporary workers. We found the service did not have a system in place to ensure temporary staff had the required skills. For instance, a nurse needed to have a current registration with their professional body. We have made a recommendation about this in the report.

People who required support with the administration of their prescribed medicines, had this provided by staff who had been deemed competent. We found records relating to people’s medicines were not always accurate. We found some stock levels were incorrect. Audits carried out by the service did not always reflect the amount of medicine held at the home. We found staff were not always provided with adequate information on medicines which were prescribed for occasional use. We have made a recommendation about these issues in the report.

People had care plans in place which reflected their likes and dislikes. However, care plans did not routinely hold information about people’s life histories and were not always updated in a timely manner when needs changed. We have made a recommendation about this in the report.

The service supported people with end of life care. However, we found mixed evidence about how the service recorded people’s wishes. We have made a recommendation about ensuring people’s end of life wishes are recorded.

People were cared for by staff who demonstrated kindness, compassion and respected individual's dignity. Comments from people and their relatives included “All staff behave in a professional manner,” “His care has been exemplary” and “I am impressed by the cheerfulness of the staff who do a difficult job with patience.”

People had access to a wide range of activities within the home and the local community. The home had regular visits from school children and people were supported to practice their chosen faith or religion.

People were routinely consulted about changes to the home environment, future activities and decisions about their care.

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.

The provider and management team had systems in place to monitor the quality of the service provided and used feedback to drive improvement.

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 9 March 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.

Inspection areas

Safe

Good

Updated 5 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 November 2019

The service was well-led.

Details are in our well-Led findings below.