10 October 2023
During an inspection looking at part of the service
Bispham Gardens is a care home with nursing, providing personal and nursing care to up to 52 people. The service provides support to adults over and under 65 years of age, and people living with a dementia. At the time of our inspection there were 42 people using the service.
People’s experience of using this service and what we found
The management of risk was not always safe and some records related to people’s care were not accurate and up to date. The provider's systems to assess, monitor and improve the service had not identified and addressed the shortfalls we found during this inspection. We have made a recommendation about this.
Accidents and incidents were routinely analysed to look for ways safety could be improved. The provider had systems to protect people from abuse and staff training had improved. The provider continued to recruit staff safely and were keeping their staffing levels under review. The home was clean and well-maintained, and the provider operated good infection control practices.
The registered manager engaged with people and their relatives and their views were taken into account. The service worked with other agencies to maintain and enhance people’s health and wellbeing.
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 22 April 2020). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This inspection was prompted in part by concerns we received about how the service managed risks associated with pressure care. As a result, we carried out a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed to requires improvement.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bispham Gardens on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified a breach in relation to management of risk at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.