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Bilton Hall Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 9 June 2018

This inspection took place on 28 and 29 March 2018. The visit on the first day was unannounced.

Bilton Hall 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.

Bilton Hall provides nursing care for up to 60 older people some of whom are living with dementia. When we inspected there were 50 people living at the home. Accommodation is provided over two floors with a dementia care unit known as the 'Butterfly Unit' situated on the first floor. At our last inspection we rated the service good. There was a breach of Regulation 10 of the Health and Social Care Act (Regulated Activities) 2014, because arrangements in place to assist people to bathe or shower did not promote people’s privacy and dignity.

At this inspection we found improvements had been made and the service was now meeting legal requirements. The rating remained good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Appropriate systems were in place to ensure safeguarding concerns were dealt with appropriately. Assessments of risks associated with people's care and support were completed and steps taken to minimise the likelihood of any harm. Lessons were learnt from when accidents or incidents occurred.

Regular checks were carried out to ensure the premises were kept in a good state of cleanliness and repair. Adaptations had been made to the environment to help orientate people to find their way around the home and we were told that people were supported to access the outside space when they chose.

The provider recruited staff safely. Staffing levels were kept under review to make sure enough staff were available to provide people with appropriate, timely assistance.

While more detailed guidance was needed around the use of medicines in specific situations appropriate systems were in place to protect people against the risks associated with medicines.

Staff received appropriate training and support to provide them with the skills, knowledge and supervision they needed to carry out their roles.

People were supported to maintain good health and nutrition in partnership with other healthcare professionals when needed.

There were some occasional gaps in monitoring documentation, but overall records were well completed and showed that care was provided in line with people's needs and wishes. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People enjoyed positive relationships with the staff and they were treated with respect and kindness.

People were involved in planning how they wanted their care and support delivered. Staff knew people’s individual preferences and there were opportunities for people to get involved in activities.

The provider responded to complaints appropriately and people told us they felt confident any concerns would be addressed.

Effective management systems were in place to promote people’s wellbeing and drive continuous improvement. This included internal audits and also provider audits which provided positive feedback about the service. People and their relatives were included in the development of the service through surveys and meetings.

Staff and people using the service; their relatives and representatives expressed confidence in the registered manager’s abilities to provide good quality care. Staff reported a supportive leadership with the emphasis on good team work.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 9 June 2018

The service remains Good.

Effective

Good

Updated 9 June 2018

The service remains Good.

Caring

Good

Updated 9 June 2018

The service remains Good.

Responsive

Good

Updated 9 June 2018

The service remains Good.

Well-led

Good

Updated 9 June 2018

The service remains Good.