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Inspection Summary


Overall summary & rating

Good

Updated 10 April 2020

About the service

Bucklesham Grange provides accommodation and nursing care for up to 57 people, some living with dementia. The home is purpose built and arranged over two floors and at the time of the inspection there were 52 people living in the home.

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

We have made a recommendation regarding the staffing arrangements in the home. Staff were not adequately deployed during busy times and there were instances where people were left unattended in communal areas in the home. The senior management team confirmed they would undertake an immediate review of their staffing arrangements.

People’s medicines were administered as prescribed. The home was clean, and staff had received training around infection prevention and control. However, some feedback received described inconsistencies in staff practice in this area. Accidents and incidents were recorded and reviewed to mitigate further occurrence.

There had been several personnel changes and staff turn-over since the last inspection. This included the previously registered manager now working at another of the provider’s services. This had affected consistency in the home despite the provider’s interim management arrangements. Feedback received cited inconsistencies with communication, staffing arrangements and a lack of leadership and direction in the home. However, the majority of feedback we received was positive and complimentary about the new manager and the improvements they were making in the home.

At the time of the inspection the manager had been in post four months and we were encouraged by the actions they were taking to develop the home. Staff morale was good, staff enjoyed their job and felt supported by the manager. The provider’s nominated individual acknowledged the home had been through many changes but assured us they would fully support the new manager to address the inconsistencies we had found.

Risks relating to people’s individual care needs had been identified and planned for. Assessments and plans to mitigate environmental risks were also in place. Staff understood their responsibilities in relation to keeping people safe and had received training in safeguarding.

People were treated with kindness and compassion. People’s care records provided guidance to staff on how to meet their specific needs. People and the majority of their relatives described positive relationships with the staff and management team. Provisions were in place to ensure people received visits from relatives and maintained their interests. Complaints were responded to appropriately.

Staff knew people’s care needs well and offered reassurance to people in times of unease. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. There was a welcoming atmosphere in the home.

Assessments of people’s needs were carried out prior to them moving into the home. There were safe recruitment practices in place for new staff. New staff attended an induction and completed training relevant to their role. Staff supported people to maintain a healthy nutritional intake. People had access to healthcare services and referrals were made when their needs changed.

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

Rating at last inspection

The rating at the last inspection was outstanding (published 13 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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

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.

Inspection areas

Safe

Requires improvement

Updated 10 April 2020

The service was not always safe.

Effective

Good

Updated 10 April 2020

The service was effective.

Caring

Good

Updated 10 April 2020

The service was caring.

Responsive

Good

Updated 10 April 2020

The service was responsive.

Well-led

Good

Updated 10 April 2020

The service was well-led.