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Baycroft Grays Farm Road Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 25 September 2019

About the service

Baycroft Grays Farm Road is a care home providing personal and nursing care to up to 75 people. There were 35 people receiving support at the time of our inspection. The home accommodates people across three floors. One of the floors specialises in providing care for people living with dementia.

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

Risks to people were not always safely managed. People received their medicines as prescribed, but improvement was required to ensure medicine administration records (MARs) were always completed accurately. The provider had systems in place to help monitor the quality and safety of the service, but improvement was required to ensure these consistently helped identify issues and drive service improvements. The home had been designed and adapted in ways which helped meet people’s needs and work was ongoing to ensure the needs of people living with dementia were fully met.

We have made a recommendation about adapting the service to better meet the needs of people living with dementia.

People told us they felt safe living at the home. Staff were aware of the provider’s safeguarding and whistle blowing procedures. The manager had made appropriate safeguarding referrals to the local authority where concerns had been raised. Staff received training in infection control and knew the action to take to reduce the risk of the spread of infection. There were enough staff deployed to meet people’s needs. The provider followed safe recruitment practices. The manager reviewed the details of any accident or incidents that occurred for learning, to improve safety.

People’s needs were assessed before they moved into the home. Staff sought people’s consent when offering them support. 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 had access to a range of healthcare services when required. The provider worked with other agencies to ensure people received effective care and support.

People were supported to maintain a balanced diet and they told us they enjoyed the meals on offer at the service. Staff were supported in their roles through an induction, training and regular supervision. Staff treated people with dignity and respected their privacy. People told us staff were kind and considerate. Staff involved people in making decisions about the care they received.

People had been involved in the planning of their care and received support which reflected their individual needs and preferences. They had access to a range of activities at the home and were supported to maintain the relationships that were important to them. The provider had a complaints procedure which was shared with people when they moved into the home and people expressed confidence that any issues they raised would be dealt with appropriately.

The manager demonstrated a good understanding of the responsibilities of the role. Staff told us they felt well supported by the management team and each other. They told us they worked well as a team and we noted that the service had a positive working culture. The provider sought people’s views through regular meetings and the use of surveys. The manager acted to make service improvements based on any feedback.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 August 2018) and there were breaches of three regulations in respect of the safe management of medicines, staffing and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made to address the three regulatory breaches we had previously identifi

Inspection areas


Requires improvement

Updated 25 September 2019

The service was not always safe.

Details are in our safe findings below.



Updated 25 September 2019

The service was not always effective.

Details are in our effective findings below.



Updated 25 September 2019

The service was caring.

Details are in our caring findings below.



Updated 25 September 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 25 September 2019

The service was not always well-led.

Details are in our well-Led findings below.