Archived: Boughton Manor

Updated 17 January 2023

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 Health and Social Care Act 2008.

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

This inspection was completed by two inspectors 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

Boughton Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Boughton Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We contacted Healthwatch about their views of this service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We also spoke with care commissioners from the local authority and local clinical commissioning group.

We used all this information to plan our inspection.

During the inspection

Due to the number of people who were living with dementia when we inspected, we were unable to speak with many people who were living at the home. We were advised that four people may wish to speak with us; however, only one did so during this inspection. We spoke with one person who lived at the home and two relatives. We asked them about their experiences of the care provided. We spoke with three members of the care staff, a nurse, maintenance person, head chef, domestic assistant, operations regional manager, deputy manager and the registered manager.

We reviewed a range of records. This included part of the care records for 12 people as well as medication administration records and the daily notes recorded by care staff. We looked at staff files in relation to recruitment, supervision and training. We also viewed a variety of records relating to the management of the service, including policies and procedures and training records.

Updated 17 January 2023

About the service

Boughton Manor is a residential care home providing personal and nursing care to up to 27 people. The service provides support to older people, some of whom may be living with dementia. At the time of our inspection there were 26 people using the service.

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

Since our last inspection, improvements had been made to the quality of care people received. Staff had a better understanding of people’s needs, particularly how to communicate and support people who were living with dementia. People were encouraged to socialise with others; where unwilling or unable, they were supported with individual activities to avoid social isolation. Complaints were handled appropriately. End of life care was not currently provided; however, basic end of life care plans were in place. This was an area of care the registered manager was seeking to develop in the coming months.

There had been sustained improvement since our last inspection with a new registered manager coming into post. Breaches from the previous inspection had been addressed and there was a clear structure in place for monitoring risk, assessing staff performance and driving improvement and development.

The registered manager was supported by senior management as well as senior staff within the home to maintain safety and provide people with a calm, happy home to live in. The registered manager understood and adhered to the regulatory requirements of their role.

People were protected from the risk of abuse and neglect. Risks to people’s health and safety were appropriately assessed, monitored and acted on. There were enough suitably skilled and experienced staff to keep people safe. Medicines were well managed. The home was clean and tidy, and measures had been taken to reduce the risk of the spread of Covid-19. Learning from accidents and incidents took place to prevent recurrence.

People received care from staff in accordance with their assessed needs whilst protecting their rights and freedoms. Staff were well trained and supervised. People were supported to follow a balanced and healthy diet. Staff supported people to receive external healthcare when needed. When health and social care professionals came to the home to review people’s care; their recommendations and guidance were followed by staff. The home was well maintained and suitable for people living with dementia. Some of the décor in the home appeared tired and in need improvement.

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 were cared for by kind and caring staff. Care was provided in a dignified and respectful way. Where able, people were encouraged to make decisions about their care. Where unable, other relevant people were given the opportunity to contribute to decisions. People’s independence was encouraged.

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

The last rating for this service was requires improvement (published 6 March 2020). 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 also recommended that all staff received sufficient training to provide effective care for all people. At this inspection we found the provider had acted on the recommendation made and they had made improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.