Bagshot Park Care Centre

Updated 20 June 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 was carried out by 2 inspectors, 1 specialist nurse advisor 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

Bagshot Park Care Centre 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. Bagshot Park Care Centre is a care home with nursing care. The Care Quality Commission (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.

The service had a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 11 May 2023 and ended on 19 May 2023. We visited the service on 11 May 2023.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority. 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 of this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 3 relatives about their experience of the care provided. We received feedback from 6 healthcare professionals who recently engaged with the service. We spoke with 11 members of staff including the registered manager, the quality assurance and compliance manager, registered nurses, carers, wellbeing coordinator and the therapy lead. We observed interactions between staff and people who used the service. We reviewed 7 people’s care records, 6 staff recruitment files, medication administration records, policies and governance records.

Updated 20 June 2023

About the service

Bagshot Park Care Centre is a residential care home registered to provide personal and nursing care for up to 35 people. The service provides support to people with a physical disability and sensory impairments, including rehabilitative care. At the time of the inspection, there were 21 people living at Bagshot Park Care Centre.

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

People and their relatives told us staff were kind and caring towards them and they felt safe living at Bagshot Park Care Centre. There were sufficient staff deployed to support people with their needs. Staff were aware of risks related to people’s care and how to support people appropriately. Staff knew how to whistle blow and raise concerns inside and outside of the organisation should they need to.

People’s medicines were managed safely, and staff knew how to support people appropriately with their medical conditions. People told us they had access to healthcare professionals when they needed this. Feedback from healthcare professionals and care records we reviewed confirmed this.

There were plans in place in the event of an emergency evacuation. Staff had completed individual personal emergency evacuation plans for people.

We were assured the service were following safe infection prevention and control procedures to keep people safe.

Care assessments were person-centred and included information on risks associated with people’s care. People and their relatives told us the food and drinks on offer were of a good standard.

Staff had received regular training and supervisions to perform their roles effectively. People and their relatives told us they felt staff were appropriately trained. Staff were supported with their progression; and supervisions included discussions around personal and professional development. Staff worked well with healthcare professionals to achieve positive outcomes for people.

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.

The premises were accessible throughout and adapted to people’s needs.

There were systems in place to monitor the quality of the care provided. The registered manager undertook regular audits, and the provider supported the registered manager appropriately. People and their relatives told us they knew how to complain and that the registered manager would listen to their concerns. They told us that they were given the opportunity to feed back on the service and attend meetings.

People, their relatives and staff told us that there was a positive atmosphere at the service which engaged them. They told us that the service was managed effectively and spoke positively of the registered manager and staff.

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 (report published 11 March 2020). There were no breaches of regulation identified. We inspected the service again using the targeted inspection methodology (report published 24 September 2020) where we did not identify any breaches of regulation.

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.

Follow up

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