Archived: Begbrook House Care Home

Updated 22 August 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:

The inspection was carried out by one inspector.

Service and service type:

Begbrook House is a nursing home. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a newly appointed manager who was in the process of registering 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:

This was an unannounced inspection

What we did:

Before the inspection we looked at information we had about the service. This information included statutory notifications that the provider had sent to CQC. A notification is information about important events, which the service is required to send us by law.

The manager was not available at the time of our inspection. We were assisted throughout our visit by the deputy and regional support manager. We spoke with three people living at the home and five staff members

We looked at six people's care records, together with other records relating to their care and the running of the service. We also looked at audits and quality assurance reports.

Updated 22 August 2019

About the service

Begbrook House is a care home that provides personal and nursing care for up to 32 older people. The service is provided in accommodation on one level and divided into four units. At the time of the inspection, 29 people were living at the home.

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

Staff continued to be supported with training to help ensure they had the knowledge and skills they needed to carry out their roles effectively. They told us they enjoyed the training and sharing what they had learnt with colleagues. Staff felt supported by the management and their colleagues and worked well as a team. The manager and deputy understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were supported to enjoy a healthy, nutritious, balanced diet whilst promoting and respecting choice.

Quality checks needed to improve to ensure that record keeping and monitoring of people’s needs were effective and of a good standard. Some further training around completing and sending information to CQC needed to improve. Stability of a management presence continued to improve and support the service. People told us they were listened to and were confident to raise complaints or concerns. They also found the ‘resident’ meetings arranged were useful and kept them informed of any changes.

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) Good (published 2018). There was a breach at the inspection of March 2018.

Why we inspected

We carried out an unannounced comprehensive inspection of this service March 2018. A breach of a legal requirement was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve an effective service.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led.

The ratings from the previous comprehensive inspection for those Key Questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. Although no further breaches were identified some improvements were required in Well Led. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Begbrook House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor the service through the information we receive. We will visit the service in line with our inspection schedule, or sooner if required.