Background to this inspection
Updated
14 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Our inspection was completed by one inspector and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Badgers Holt is a care home. People in care homes receive accommodation and nursing or personal care under one contractual arrangement. CQC regulates both the premises and the care provided, and both were looked at during the inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We did not give notice of our inspection.
What we did:
Before the inspection, we reviewed information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We considered information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection, we gathered information from:
• 14 people who used the service and 14 relatives.
• Four health or social care professionals who had regular contact with the service.
• Four people’s care records.
• Records of accidents, incidents and complaints.
• Audits and quality assurance reports.
• The provider and registered manager.
• The head of care, activity co-ordinator, chef and five care staff.
Updated
14 May 2019
About the service: Badgers Holt is a residential care home that was providing personal and nursing care to 25 people aged 65 and over at the time of our inspection.
People’s experience of using this service:
At this inspection the service met the characteristics for a rating of "outstanding" in three of the five questions we inspected. Therefore, our overall rating for the service after this inspection was "outstanding".
At our last inspection in March 2017 we rated the effective domain as ‘Outstanding’. Our inspection findings, and the feedback received, at this inspection now supported a rating of ‘Good’.
People felt safe living at Badgers Holt and they were very much at the heart of the service. We received consistent positive feedback from people, their relatives and health professionals. People received excellent care that was based around their individual needs and that ensured care was personalised and responsive.
Staff working at Badgers Holt understood the needs of people using the service and supported people in an exceptionally personalised way. Staff knew people well and we saw that care was provided respectfully and sensitively, taking into account people’s different needs. The impact this had on people was outstanding and had resulted in people living an active life with choice evident throughout.
People received outstanding levels of care. Staff developed exceptionally positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in an individualised and compassionate way. People’s privacy and dignity was maintained at all times.
People were cared for by a motivated and well-trained staff team, who always put people first. Staff had the specialist knowledge and skills required to meet people’s needs.
Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe. People involved in the recruitment process and had an input in staff employed at the home.
The service developed and promoted community involvement within the home. Staff worked closely with the local college supporting new students into care which benefited the college and people at the home.
Rating at last inspection: At the last inspection the service was rated as outstanding. (Report published 03 April 2017).
Why we inspected: This was a planned inspection based on previous rating.
Follow up: We will follow up on this inspection as per our re-inspection programme, and through ongoing monitoring of information received about the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk