Badby Park

Updated 9 January 2024

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

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 four inspectors and two Experts 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

Badby Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used all of this information to plan our inspection.

During the inspection

We spoke with 11 people who used the service about their experience of the care provided and 10 relatives. We spoke with 12 members of staff including the registered manager, the clinical lead, nurses, occupational therapists, physiotherapists, rehabilitation staff and care staff.

We reviewed a range of records. This included 9 people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures, quality assurance, staff training and complaints were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at meeting minutes, care staff newsletters, governance meetings and continued to speak with staff.

Updated 9 January 2024

About the service

Badby Park is a nursing home service that is registered to provide care for up to 88 people. There are four units providing care for people with high dependency support needs, complex care and rehabilitation. At the time of the inspection there were 81 people living in the home.

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

The provider had not taken timely action to improve the lives of people living in one area of the building. The environment was not suitable and people did not have free access to other parts of the building and outdoor spaces.

There were missed opportunities to promote people’s wellbeing to have a welcoming space outside. Garden areas were not well maintained and in some areas were a hazard.

We identified concerns relating to the culture of the staff at the service. Not all teams worked well together to ensure people receive a seamless service.

The provider had made improvements to the clinical systems. These had been embedded and the provider had clear oversight of the safety of this part of the service.

Systems, processes and practices safeguarded people from risk of abuse. Risks to people were assessed, monitored and managed. There were enough staff working at the service to meet people's needs. Recruitment processes were robust. Medicines were managed in a safe way. Effective infection prevention control measures were in place. Lessons were learned when things went wrong as incidents were recorded and actions completed to keep people safe.

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.

People thought staff were caring. People were supported to express their views. People's privacy and dignity were respected, and their independence promoted. Care plans were person-centred and guided staff to meet people's needs. People's communication needs were met. People were able to take part in activities provided by the service. People were provided with information about how to complain and when they did, complaints were responded to appropriately.

Quality assurance systems monitored care so there was the potential for it to be improved. The service worked with other agencies to the benefit of people using the service

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 requires improvement (published 13 May 2022). The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

The inspection was prompted in part due to concerns received about the culture of the service. A decision was made for us to inspect and examine those risks.

Enforcement

We have identified a breach in relation to oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Badby Park on our website at www.cqc.org.uk

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.