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Inspection Summary


Overall summary & rating

Good

Updated 10 December 2020

About the service

Bowbridge Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Bowbridge Court does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bowbridge Court accommodates up to 54 people in one purpose-built building, which is split across three floors. One of the floor specialises in providing care to people living with dementia. On the day of our inspection 45 people were living at the service.

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

Staff were not consistently using personal protective equipment (PPE) effectively. The registered manager took action to address this. The service was kept clean, which minimised the risk of people acquiring an infection. We were assured that the provider was preventing visitors from catching and spreading infections and were assured that people were admitted safely to the service. Staff were not always deployed effectively to meet people’s needs.

People and relatives said they felt the service was safe. The registered manager and provider took appropriate action to ensure people were protected from the risk of abuse. People’s needs were assessed, and risks associated with their health conditions documented. Staff knew about risks associated with people’s health conditions and understood how to provide care which kept people safe. Risks associated with the service environment were assessed and mitigated.

People received their prescribed medicines safely. The system for managing medicines ensured people were given the right dose at the right time. Accidents and incidents were reviewed and monitored to identify trends and to prevent reoccurrences. The provider had improved their processes for analysing incidents to determine how to improve the quality of care.

The service was well-led. People and their relatives spoke positively about the way the service was run. The provider and management team undertook audits of all aspects of the service to review the quality of care, and identify areas where improvements were needed. This included a range of regular checks on all aspects of people’s care, and the building environment. Staff we spoke with clearly understood their roles and responsibilities in providing people with safe and good quality care.

People, relatives and staff were encouraged to give regular feedback on the quality of the service. Staff worked with other health and social care professionals to ensure people received the care and support they needed.

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 2 May 2019) and there were breaches of regulations 12, 13 and 17 of the Health and Social Care Act Regulations 2014. Following the last inspection, we retained conditions already imposed on the provider’s registration. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about medicines management, infection prevention and control, staffing levels and how risk is managed for people’s behaviours. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this full report.

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 reviewed the information we held about the service. No areas of concern were identified i

Inspection areas

Safe

Good

Updated 10 December 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 December 2020

Caring

Good

Updated 10 December 2020

Responsive

Good

Updated 10 December 2020

Well-led

Good

Updated 10 December 2020

The service was well-led.

Details are in our well-Led findings below.