Bakewell Cottage Nursing Home

Updated 30 March 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

The inspection team comprised of 1 inspector and 1 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

Bakewell Cottage Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care, as a single package under a single contractual agreement dependent on their registration with us. Bakewell Cottage Nursing Home 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 this inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we received about the service since the last inspection. We sought feedback from local authority care commissioners who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service, 7 relatives, 4 nurses and 4 care staff including 1 team leader; 1 cook, 1 domestic, the registered manager, deputy manager and nominated individual for the provider. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We observed how staff interacted with people and we reviewed a range of records. This included 5 people's care plans, multiple medicines records; staffing and quality assurance management records, and a range of the provider’s operational policies. Following the inspection, we continued to seek clarification from the registered manager, to validate evidence found.

Updated 30 March 2023

About the service

Bakewell Cottage Nursing home is a care home providing accommodation in one adapted building, for up to 38 people who require nursing or personal care. This may include adults with a physical disability, dementia, a sensory impairment, learning disability or an autistic person. At this inspection, there were 35 people receiving care at the service, including 32 receiving nursing care.

At the time of the inspection, the service did not care or support for anyone with a learning disability or an autistic person. However, we took account of the care provision under Right Support, Right Care, Right Culture, against the areas we inspected, as it is registered as a service for this population group.

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

Overall, ongoing and sustained service improvement was demonstrated. However, the registered provider’s accountability and oversight arrangements were not wholly effective, to consistently ensure timely action and improvement following their management assurance checks for the quality and safety of people’s care.

People were protected from the risk of harm or abuse at the service. Risk management strategies for people’s care and emergency contingency planning, were effectively informed and understood by staff. Action was assured to fully ensure the safe storage of equipment used for people’s care at the service

People’s medicines were safely managed to ensure people received them when they should. People and relatives were confident people received safe care from staff at the service.

We were assured the provider was meeting with requirements and nationally recognised government guidance, concerned with the prevention and control of infection, including COVID-19.

Staff were safely recruited, deployed, and they understood and were highly motivated to carry out their role and responsibilities for people’s care.

Right Support: 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.

Right Care: Care was person centred and promoted people’s dignity, privacy and human rights.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff, helped to ensure people could lead confident, inclusive and empowered lives.

There was a registered manager for the service who understood and followed the requirements of their role. Overall, staff were effectively managed, informed and supported to perform their role and responsibilities for people’s care.

People, relatives and staff were confident in the culture, ethos and day to day management of the service. All were regularly consulted to help inform and improve people’s care when needed.

Effective partnership working was established with relevant external professionals, agencies and authorities, to help inform and agree people’s care in their best interests.

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 22 February 2020).

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 COVID-19 and other infection outbreaks effectively.

We undertook a focused inspection to review the key questions of Safe and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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