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Badby Park Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 January 2021

About the service

Badby Park is a care home providing personal and nursing care for up to 68 people with high dependency support needs, complex care and rehabilitation. At the time of the inspection 64 people were being supported.

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

Medicines required improvement. We found issues with the administration, documentation and storage of prescribed medicines.

We found concerns with the oversight of the service. We saw limited evidence of audits being completed.

Records were not consistently completed, we had concerns that care was not being delivered within the prescribed timeframes. For example, repositioning charts, fluid charts and safety checks all had gaps in recording.

People had risk assessments completed and staff knew people well. However, not all information within the risk assessments was consistent with care plans.

People were protected against abuse. Staff understood and were trained in understanding and identifying signs of abuse. Staff knew how to raise any concerns.

Infection control was managed appropriately. We saw appropriate personal protective equipment [PPE] being used. The environment appeared clean and tidy. Cleaning schedules were in place.

Staff felt supported within their roles. Staff, people and relatives were encouraged to give feedback on the service. New surveys had been implemented to gain everyone’s feedback and suggestions for improvement.

Complaints had been well managed. Relatives and staff all knew how to complain.

Referrals were made to professionals as required. We saw evidence of speech and language therapists, dietitians and occupational therapists being involved in people’s care and support needs.

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

Rating at last inspection

The last rating for this service was good (published 29 December 2018).

Why we inspected

We inspected due to concerns relating to the number of safeguarding alerts received. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Badby Park on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to medicines and oversight of the service 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 for 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 return to visit as per our re-inspection programme. If we receive

Inspection areas

Safe

Requires improvement

Updated 7 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 7 January 2021

Caring

Good

Updated 7 January 2021

Responsive

Good

Updated 7 January 2021

Well-led

Requires improvement

Updated 7 January 2021

The service was not always well-led.

Details are in our well-led findings below.