Bascombe Court

Updated 4 September 2019

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. 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 was carried out by an inspector, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type

Bascombe 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 unannounced on the first day.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. Prior to the inspection we contacted the local authority improvement team for feedback. We reviewed previous reports and notifications the provider had sent us. A notification is information about important events such as incidents and accidents, which the provider is required by law to send us.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all this information to plan our inspection.

During the inspection

We spoke with 28 people who used the service and seven relatives about their experiences of the care provided. We spoke with sixteen members of staff including the registered manager, locality manager, head of care, senior care workers, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included five people’s care records, and four people’s records relating to their medicines. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including quality audits and health and safety checks were reviewed.

Updated 4 September 2019

About the service

Bascombe Court is a residential care home in Brixham. Accommodation is provided over three floors with lifts available for people who have mobility needs. The service can accommodate a maximum of 46 older people. Some people may be living with dementia. Nursing care was provided by the local community nursing teams.

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

People using the service benefitted from a kind, caring and committed staff team. People and their relatives told us they were treated with kindness, compassion and respect. We observed positive and caring interactions between staff and the people they supported. People were able to be independent as possible and were also provided with prompt, sensitive support when needed.

People were placed at the heart of the service and were as far as possible involved in decisions about their care and lifestyle. People and relatives told us they were listened to and care was personalised.

People’s care was delivered safely. The staff team was consistent, employed in sufficient numbers and had the skills, training and recruitment checks to help ensure people were cared for safely.

People’s risks were understood and managed well. People’s rights and independence were respected and promoted. Management and staff understood their role with regards to the Mental Capacity Act (2005). People’s consent was sought before care and support was provided. When people were unable to consent and make decisions for themselves appropriate processes were followed.

People’s needs in relation to their health, diet and overall well-being was understood and met consistently.

People lived in a home that was well-maintained, comfortable and designed to meet their needs. People were supported to occupy their time in a meaningful way and people who mattered to them were welcomed into the home.

People lived in a home that had a positive culture and was led by a passionate and committed management team. Staff felt valued in their role and were determined to achieve good outcomes for people. The provider, registered manager and staff had formed positive relationships with health and social care professionals and liaised with these services to help ensure people’s full range of care needs were met.

Quality assurance systems were effective in continuing to drive and sustain improvement across the service.

Rating at last inspection: At the last inspection the service was rated as Good (published January 2017)

Why we inspected: This was a planned comprehensive inspection based on the last inspection. The service remained Good.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk