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Bamford Grange Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Bamford Grange 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 17 December 2020

About the service

Bamford Grange Care Home is a care home providing personal and nursing care to 60 people aged 65 and over at the time of the inspection. The service can support up to 79 people.

Bamford Grange Care Home provides care across separate five units. Units specialise in dementia care, general nursing and mental ill health.

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

People did not always receive care which met their needs. Care plans did not always reflect people’s current needs. End of life wishes were not always captured. Monitoring records were inconsistent. The provider had failed again to demonstrate the required standard of governance. This is a breach of Regulation 17 (Good Governance) and Regulation 9 (Person-Centred Care).

Staff were not appropriately deployed to ensure that meant people’s care needs were met. This is a breach of Regulation 18 (Staffing).

Activities were taking place in parts of the building, but people cared for in bed were at risk of social isolation. We made a recommendation about activities.

There was a clear policy and system to manage infection control particularly in terms of the prevention of Covid-19. The inspector completed an infection control questionnaire on site. We made a recommendation about infection control.

The provider followed their complaints policy when dealing with complaints. One complaint had been escalated to the Local Government and Social Care Ombudsman who investigate complaints about adult social care settings.

Staff expressed a commitment to their caring roles. Most relatives told us they were happy with the care their loved ones received. Relatives told us that communication between themselves and their loved ones could be better supported by staff at the home. We made a recommendation about communication.

There had been some changes to the management team at Bamford Grange Care Home and new systems were being implemented to improve people’s experience of care.

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 5 February 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about the management of people’s care needs, staffing and infection control. A decision was made for us to inspect and examine those risks.

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.

We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well-led sections of this full report.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bamford Grange Care Home 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 resu

Inspection areas

Safe

Requires improvement

Updated 17 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 December 2020

Caring

Good

Updated 17 December 2020

Responsive

Requires improvement

Updated 17 December 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 December 2020

The service was not always well-led.

Details are in our well-Led findings below.