Background to this inspection
Updated
13 March 2021
The inspection
This was a targeted inspection to check on specific concerns we had which related to the safe care and treatment of people, specifically the number of staff on duty and how risks were managed and how the management team supported their staff.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Bodmeyrick Residential Home is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Prior to the inspection we reviewed the information we held about the service and notifications we had received. A notification is information about important events which the service is required to send us by law.
During the inspection
We spoke to four people living at the home and with five members of staff, which included the registered manager. We spent time observing the interactions between people and staff. We also reviewed feedback from a relative which was sent to the staff team.
We also requested documents to be sent to us, including care plans and risk assessments, the training matrix, staff rotas and various documents with regards to the running of the service. For example, certain audits, meeting minutes, and health and safety checks.
After the inspection
Following the inspection, we spoke with/emailed four professionals who regularly visit the service.
Updated
13 March 2021
About the service
Bodmeyrick is a residential care home which provides accommodation and personal care for up to 28 older people. At the time of our inspection there were 27 people living at the service.
People’s experience of using this service and what we found
People, relatives and professionals gave consistently positive feedback about the care provided at Bodmeyrick Residential Home. Comments included: “The staff look after me very well, they’re very good”; “Staff have a wonderful person-centred approach to dementia care. They are aware of the importance of getting to know the individual and see Bodmeyrick as the residents’ homes” and “The kindness and understanding that was shown to (relative) has exceeded whatever we imagined.”
There was a strong, visible person-centred culture. This was evident from all staff within all roles. From care staff, domestic staff and management. The person-centred culture was embedded at all levels. People were truly respected and valued as individuals, with staff thinking ‘outside of the box.’
Staff were exceptional at anticipating people’s needs. The service recognised that some people living with a dementia were often restless, therefore they introduced a sensory room. The room contained dimmed lighting and many sensory items available on the walls and freely on shelves (such as, fiddle muffs, lavender bags and water balls). Now when people became anxious the room enabled them to be relaxed and less anxious.
The registered manager and provider truly valued the well-being of staff. They saw this as key to running the service as well as possible. Staff had recently attended a resilience training course run by a clinical psychologist. This was about looking after their own well-being and mental health. Following the training, the registered manager introduced a positive feedback folder for each staff member. Staff could then put positive comments for staff to refer to if they are having a bad day. Caring about staff well-being was also seen as very important in order for them to support people in a kind and compassionate way.
Staff were highly motivated to ensure people received care which was compassionate and kind. We saw people had developed strong relationships with staff, and it was evident that this was an important ethos of the service.
Staff ensured people received the best possible care and support. For example, supporting the various activities and events which happened at Bodmeyrick Residential Home. Staff believed in the importance of these events and the coming together as a community.
Staff adopted a strong and visible personalised approach in how they worked with people. For example, staff spoke of the importance of empowering people to be involved in their day to day lives. People felt that their care was focussed on their individual needs.
The staff groups training, knowledge and empathetic nature meant they recognised maintaining people’s dignity was essential to them feeling valued, respected and genuinely cared for.
The service’s visions and values centred around the people they supported. The organisation’s statement of purpose documented a philosophy of maximising people’s life choices, encouraging independence, inclusion and people having a real sense of worth and value. Staff expressed a passion for providing high quality care. This inspection found that the organisation’s philosophy was definitely embedded in Bodmeyrick Residential Home.
Bodmeyrick provided people with safe, effective, compassionate and high-quality care. The management team actively promoted a relaxed and welcoming atmosphere. The service strived to provide people and those that matter to them with rich and fulfilled lives.
The management team were forward thinking. They provided strong leadership; were good role models for all staff and drove up excellent practice to provide people with opportunities. They had established a service where staff were clear about the values and ethos of the service. It had a positive culture that was person-centred, open, inclusive and empowering. Staff were motivated and proud of their service.
Staff were supported to reach their true potential. Staff were encouraged and supported to specialise in certain areas. The home had ‘champions’ which included for incontinence, safeguarding and moving and handling. The champions had been encouraged to undertake specialist training in these areas to ensure information was disseminated to the entire staff team which was current and up to date in order to support people in the best possible way.
Bodmeyrick is a very important part of the community. Community links had been and continued to be developed which reflected the changing needs and preferences of the people living at the service.
A number of extensive methods were used to assess the quality and safety of the service people received and continuous improvements were made in response to the findings.
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 service provided safe care to people. One person commented: One person commented: “I feel very safe here. The staff are good.” Medicines were safely managed on people’s behalf.
Care files were personalised to reflect people’s personal preferences. People were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.
There were effective staff recruitment and selection processes in place.
People received effective care and support from staff who were well trained and competent.
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 (report published in April 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 Bodmeyrick Residential Home 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.