Bagshot Park Care Centre

Bagshot Park Care Centre is a residential care home registered to provide personal and nursing care for up to 35 people. The service provides support to people with a physical disability and sensory impairments, including rehabilitative care. At the time of the inspection, there were 21 people living at Bagshot Park Care Centre.

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

People and their relatives told us staff were kind and caring towards them and they felt safe living at Bagshot Park Care Centre. There were sufficient staff deployed to support people with their needs. Staff were aware of risks related to people’s care and how to support people appropriately. Staff knew how to whistle blow and raise concerns inside and outside of the organisation should they need to.

People’s medicines were managed safely, and staff knew how to support people appropriately with their medical conditions. People told us they had access to healthcare professionals when they needed this. Feedback from healthcare professionals and care records we reviewed confirmed this.

There were plans in place in the event of an emergency evacuation. Staff had completed individual personal emergency evacuation plans for people.

We were assured the service were following safe infection prevention and control procedures to keep people safe.

Care assessments were person-centred and included information on risks associated with people’s care. People and their relatives told us the food and drinks on offer were of a good standard.

Staff had received regular training and supervisions to perform their roles effectively. People and their relatives told us they felt staff were appropriately trained. Staff were supported with their progression; and supervisions included discussions around personal and professional development. Staff worked well with healthcare professionals to achieve positive outcomes for people.

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.

The premises were accessible throughout and adapted to people’s needs.

There were systems in place to monitor the quality of the care provided. The registered manager undertook regular audits, and the provider supported the registered manager appropriately. People and their relatives told us they knew how to complain and that the registered manager would listen to their concerns. They told us that they were given the opportunity to feed back on the service and attend meetings.

People, their relatives and staff told us that there was a positive atmosphere at the service which engaged them. They told us that the service was managed effectively and spoke positively of the registered manager and staff.

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

Rating at last inspection

The last rating for this service was requires improvement (report published 11 March 2020). There were no breaches of regulation identified. We inspected the service again using the targeted inspection methodology (report published 24 September 2020) where we did not identify any breaches of regulation.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Bagshot Park Care Centre (Bagshot Park) provides nursing care and rehabilitation for people with a range of complex needs including people with acquired brain injuries. The service accommodates up to 22 people across two separate floors. At the time of our inspection, the service was supporting 20 people.

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

Staff were aware of their responsibility to keep people safe from harm and knew how to report any concerns. The service had provided opportunities and contact details for staff should they wish to discuss any concerns regarding people’s care or their own support. Risks to people safety were managed and systems were in place to support people in the event of an emergency. Safe infection control protocols were followed and national guidance in response to the COVID-19 pandemic was followed. Sufficient staff were deployed with a range of skills which enable people’s needs to be met effectively.

There was a positive atmosphere in the service and staff were observed to work well as a team. Communication with families had been a priority when visiting restrictions were in place. Staff felt they were supported in their roles and had the training and induction they required.

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

Rating at last inspection

The last rating for this service was Requires Improvement (11 March 2020). No breaches of regulations were identified.

Why we inspected

We undertook this targeted inspection to check specific anonymous concerns we had received in relation to people’s care and the management oversight of the service. The overall rating for the service has not changed following this targeted inspection and remains Requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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.

Bagshot Park Care Centre provides nursing care and rehabilitation for people with a range of complex needs such as acquired brain injuries. The service accommodates up to 22 people across two separate floors. At the time of our inspection, the service was supporting 21 people.

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

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Although people and relatives told us they felt there were not enough staff, we did not observe any shortages that impacted the care people received. Staff also told us they felt they had enough staff to meet people’s need. However, staff were not receiving regular supervision and people and relatives did not always feel agency staff were effective in their roles. We have recommended the registered provider addresses this through additional training and an improvement in supervision frequency. Although people’s complex health diagnoses were recorded in care plans, further work was required to ensure staff without a medical background were aware of what this meant and how it affected the person. We have issued recommendations to the registered provider in relation to the Mental Capacity Act 2005 and people’s care documentation.

People and their relative’s felt unsettled due the number of managers that had been in post over a short amount of time. It is a requirement of a registered service to have a registered manager in place. A new manager had started on the day of the inspection and was in the process of registering with the CQC. We have issued a recommendation to the registered provider in this respect, and acting on feedback from people and relatives in relation to their concerns around the instability of managers.

People and relatives told us they felt safe at Bagshot Park. Staff were aware of their safeguarding responsibility and ensured the environment was clean and free from the risk of the spread of infection. Medicine administration, recording and storage practices were safe, and accidents and incidents were recorded and action taken to prevent reoccurrence. Complaints were recorded and outcomes reached that people and their relatives were happy with.

People were complimentary about the food at the service, due to the chef and kitchen team taking pride in the appearance and quality of the food they produced. Healthy and nutritious diets had resulted in people’s health improving. Staff worked collaboratively as part of a multidisciplinary team to rehabilitate people back to a level of independence. Adapted equipment was used as part of this process, with the environment itself being conducive to people’s mobility needs.

People and relatives told us staff were kind and caring towards them, respecting their dignity and privacy. People were involved in decisions around their day to day care, with staff allowing flexibility in people’s routines to ensure they could take part in activities and events they wished to attend. Activities both in house and externally were person centred, allowing people to lead as normal a life as possible. Staff were extremely knowledgeable around people’s individual communication needs.

Regular audits identified issues which were resolved, and the clinical advisor had informed the CQC of notifiable events. Plans were in place to improve the skill level and development of staff, and close partnership working with external organisations ensured sustainability of the service.

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

Rating at last inspection

The last rating for this service was Good (published 15 September 2016). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least Good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.