Archived: Bispham Gardens

We found the following examples of good practice.

• Visiting at Bispham Gardens was restricted. Visitors were required to follow best practice guidance and wear appropriate PPE. Their visiting policy and restrictions had been discussed with people, their families and friends.

• People who had returned from hospital were risk assessed and their immediate care and support followed government guidance. This included people having to isolate in their bedrooms.

• Testing for Covid-19 for people and staff had occurred and was ongoing on a regular basis. The registered manager had ensured people who had tested positive were quarantined and cared for in their bedrooms.

• We observed prominent signage to guide staff on the use of protective personal equipment (PPE). Processes were in place for staff to put on, take off and dispose of PPE when entering and leaving higher risk environments. Additional PPE measures were in place when supporting people who had tested positive for Covid-19. We observed staff wearing PPE appropriately.

• Staff said the registered manager was very aware of what precautions needed to be in place and they felt lucky to be supported by their registered manager. We saw up to date coronavirus management, infection control audits and business continuity plan that included the management of winter pressures.

• We observed the home looked clean and hygienic. The housekeeping team had been increased to manage the additional daily cleaning duties introduced. Environmental, coronavirus and infection control policies, procedures and audits were in place to ensure infection prevention procedures were robust and ongoing.

• People received support to maintain their relationships with their families and friends. This was achieved through telephone calls, video calls and the use of social media

Bispham Gardens is a residential care home providing personal and nursing care to 27 people at the time of the inspection. The service is registered to support up to 28 people.

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

Staff were recruited safely, however, not all applications showed evidence a full employment history had been discussed. We have made a recommendation about collecting full employment information. People told us enough staff were available to meet people’s needs. Safeguarding procedures were in place to protect people from the risk of abuse by staff who understood and were trained on how to recognise and respond to concerns. Medicines were managed and administered safely. Infection control systems and audits continued to ensure a clean environment people.

The registered manager ensured staff received training that met people’s needs. People were happy with meals and quantity of food provided throughout the day. One person said, "When I came here, I had no appetite at all, but with encouragement and lots of tempting treats I have got my love of food back." People received support with their healthcare needs promptly. 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 told us how staff were kind, caring and treated them well. One person said, "They [staff] couldn't be more caring towards me. Nothing is too much trouble." One relative commented, “The staff always show great patience with mum and she is never rushed.” We observed people were treated with respect and they were involved with family members in their care planning.

People's communication needs had been assessed. People had access to activities daily within the home and in the local community. People knew how they could raise concerns about the service and a complaints procedure was in place. The registered manager was passionate about ensuring they provided empathetic, compassionate person-centred end of life care.

The owner and registered manager were clear about their roles and provided care which resulted in good outcomes for people. They worked in partnership with a variety of agencies to ensure people's health and social needs were met. The registered manager and owner used a variety of methods to assess and monitor the quality of the service. This ensured the service continued to be monitored and improve.

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 good (published 19 September 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection due to the change of provider.

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.