Bishop's Cleeve Care Home

Updated 16 February 2024

Date of assessment 22 February to 20 March 2024. This was a responsive assessment to follow up on two warning notices and information which suggested there were emerging risks. At this assessment, we found some improvements had been made to the quality of people’s care and governance of the home; however further time and support from the provider was needed for the service to become fully complaint with the regulations. Some aspects of people’s risks and medicines management were not being effectively managed and monitored. Staff had not been suitably trained and assessed as being competent in managing people’s specialised dietary and fluid needs. This placed people at being exposed to the risk of choking. Infection control practices including the storage and use of personal protective equipment were not in line with government guidance, putting people at risk of the spread of infection. A range of monitoring systems had been implemented to assist the managers in the monitoring the quality of care being delivered, and the safety of the building. Through these systems, the interim manager had identified further improvements were needed specifically around the management of people’s dietary needs, medicines, and the assessment of staff skills. However, further time was needed to address their findings and drive improvement across the service. Therefore, there was a continual breach of the legal regulations in relation to safe care and treatment of people and governance of the service. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 16 February 2024

People told us they felt safe living at Bishops Cleeve Care Home and relatives considered their family members to be safe. People’s eating and drinking needs were supported, although we observed one person’s choking risk had not been managed in accordance with their needs. Once this had been identified by us, the interim manager took immediate action to address this and ensure the person was safe. People told us they received their medicines as prescribed although the records pertaining to the administration of one type of medicine required improvement. People were provided with support to manage and reduce risks associated with their health. People’s changing needs were reviewed and alterations were made to their care and treatment where required. People’s relatives were informed of these changes. Relatives mainly felt the home was kept clean and they had been advised of infectious outbreaks and what to do when these occurred. Relatives had been supported to visit the care home safely during a recent COVID outbreak. People and relatives spoke positively about the staff, but they were concerned about the level of staff turnover and the inconsistent management. They told us communication by managers needed to improve and they would welcome more regular opportunities to review their relatives’ care with a member of staff. People told us they felt their views and human rights were promoted and respected and they were treated equally. While the people we spoke to expressed they were generally happy with their care, our assessment found elements of people’s care did not meet the expected standards.