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Bakers Court Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Bakers Court Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 November 2019

About the service

Bakers Court Care Home is a nursing home providing personal and nursing care to up to 78 people aged 65 and over in one building across three floors. At the time of the inspection, 71 people were using the service.

People’s experience of using this service

The provider had increased the numbers of staff on duty, but staff were not deployed effectively to meet people’s needs. People did not receive a good dining experience. Care plans did not always include the level of detail needed to provide people with person-centred and safe care. The provider’s quality assurance systems did not address the issues we found at this inspection.

People had risk assessments to minimise the risks of harm or abuse they may face. However, risk management plans were not always reviewed and updated when people's needs changed. Staff knew what action to take if they suspected somebody was being harmed or abused. Medicines were managed safely. People were protected from the risks associated with the spread of infection.

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.

People’s care needs were assessed before they began to use the service. Staff were supported to carry out their role with training, supervision and appraisals. People were supported to maintain their health. Staff understood their responsibilities under the Mental Capacity Act (2005).

Staff were knowledgeable about people’s individual needs and they knew how to provide a personalised care service, although people’s personal preferences were not always well documented. People’s communication needs were met. The provider had a system in place to handle complaints. People who were at the end of their life had their wishes for their last days documented.

People and their relatives gave mixed feedback about the leadership of the service. Staff spoke positively about the management of the service. The provider held regular meetings for people using the service, their relatives and staff. The provider sought feedback from people using the service and relatives to identify areas for improvement. The provider worked in partnership with other agencies.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 January 2019) and there were breaches of regulation. The provider completed an action plan after the inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made and the provider was still in breach of regulations. The service remains requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

The inspection was prompted in part due to concerns received about the quality of care of people using the service. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective 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.

Follow up

We will req

Inspection areas

Safe

Requires improvement

Updated 21 November 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 21 November 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 21 November 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 21 November 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 21 November 2019

The service was not always well-led.

Details are in our Well-Led findings below.