About the service Baxendale Care Home is a residential care home providing accommodation and personal care to older people and people living with dementia. The service can accommodate up to 45 people and at the time of our inspection there were 29 people using the service.
The home spreads over three floors and has a separate wing, accessible through the main building, which specialises in providing care to people living with dementia. Residents have access to ample outdoor spaces including a patio area and a large garden.
People’s experience of using this service and what we found
People told us they felt safe at the home and with the care they received. People received their medicines as prescribed. Risks associated with people’s health and care were identified and assessed as and when needed, and staff were provided with clear guidance on how to minimise these risks. Management ensured appropriate checks were completed prior to staff starting work. The home had adopted strict infection prevention and control measures to keep people safe.
Whilst the service obtained people’s consent before providing care and treatment, this was not always clearly documented. We made a recommendation around the need for consent.
People received a comprehensive pre-assessment before their admission into the home which ensured they received the right care and support. Staff were supported through robust induction processes, supervision and regular training. People were provided with healthy meal choices and stayed hydrated. Staff supported people to maintain good health and access a range of healthcare services when needed. 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 and relatives told us they felt staff were kind, caring and supportive. Staff involved people in making decisions about their own care. People were encouraged to be as independent as possible. People and staff engaged with one another with respect.
People received care that was tailored to their individual needs and staff knew them well. Care plans documented how people wanted to receive their care. People were supported with different choices of activities which they enjoyed. The service managed complaints effectively and relatives told us they felt confident in raising any concerns but were pleased with the care their loved ones received.
There was an open and inclusive culture at the service. People, relatives and staff spoke positively of the management and the support they received. Systems were in place to assess and monitor the quality of the service provided. The service sought feedback from people, relatives, staff and professionals which they used to drive improvements. The team worked in partnership with healthcare services and other professionals to improve and maintain people's quality of life. Staff told us they felt they worked as a team and were happy to work there.
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
Since CQC’s last inspection in 2019, the provider changed from being an unincorporated charity to a Charitable Incorporated Organisation, which did not affect the day-to-day management of the service. The last rating for the service under the previous provider was requires improvement (published on 26 April 2019) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the service sought guidance on the provision of suitable activities for people living with dementia and responding to people’s needs in a person-centred way. At this inspection we found improvements in these areas.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Baxendale Care Home on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.