Bosworth Court Care Home

Updated 21 January 2021

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 team consisted of one inspector.

Service and service type

Bosworth Court 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 inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people living in the home about their experience of the care provided. We spoke with eight members of staff including the registered manager, receptionist, the administrator, the activities co-ordinator, nurses, a senior care worker, a care worker and a maintenance worker. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records held both electronically and paper documents. A variety of records relating to the management of the service, including policies, procedures and relatives’ meetings were reviewed along with staffing rotas.

After the inspection

We spoke with or had contact from six relatives about their experience of the care provided. We also spoke with an additional member of the housekeeping team, two nurses, a senior care worker and a care worker.

Updated 21 January 2021

About the service

Bosworth Court Care Home is registered to provide accommodation and nursing care for up to 42 older people over two floors, some of whom are living with dementia. The service was purpose built to meet people's needs. At the time of the inspection there were 37 people using the service.

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

People living at the service told us they were happy and felt safe in “Their home”. Relatives were very positive about the care and experiences people were getting, and felt well informed, even during the periods of lockdown. End of life care was particularly praised by one relative for the way in which the home managed to combine care with compassionate, safe visiting.

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 and were seen to be very comprehensive for people with regard to COVID19 testing.

We recommend the provider implements a process to review forms including ReSPECT forms to ensure that information is accurate, current and reflects people’s wishes. The process should include, where appropriate, escalation and discussion with partners such as the General Practice where such forms are in place.

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 29 October 2019).

Why we inspected

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 coronavirus and other infection outbreaks effectively.

The inspection was prompted due to concerns received about a concern over a potential disparity in records held by the home and the local general practitioners for forms relating to end of life care and treatment. These were the “Do not Attempt Cardio Pulmonary Resuscitation” (DNACPR) and the “Recommended Summary Plan for Emergency Care and Treatment” (ReSPECT) forms. This could have impacted negatively on people’s care if found to be correct. A decision was made for us to inspect and examine for that potential risk. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We found no evidence during this inspection that people were still at risk of harm from this concern. Please see the safe section of this report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection together with the ratings from the previous comprehensive inspection for those key questions not inspected this time.

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

Follow Up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.