CQC report explained · a nursing home
What the CQC found at Badgeworth Court Care Centre
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Risks such as falls, choking, poor nutrition and skin problems were assessed and managed. Medicines, recruitment, infection control and emergency arrangements were also found to be safe.
- Effective?
- Good
- People's needs were assessed and staff had suitable training and support. People were helped with food, drink, healthcare, communication and decisions about their care.
- Caring?
- Good
- People and relatives described staff as caring. Inspectors observed people being treated with dignity and found that people and families were involved in care decisions.
- Responsive?
- Outstanding
- Care was exceptionally personalised and adapted to changing needs, particularly for people living with dementia. Activities, dementia support, communication arrangements and community links were tailored to individuals.
- Well-led?
- Outstanding
- The management team had a clear vision and a whole-home approach to care. Inspectors found strong quality monitoring, staff development and partnership working.
What inspectors found, July 2022
Rated Outstanding; inspectors found exceptionally personalised and responsive care, with some mixed views about staffing and call-bell waits.
This was an unannounced inspection on 27 and 28 April 2022. Two inspectors and an Expert by Experience observed care, spoke with people, relatives, staff and professionals, and checked care, medicine, recruitment and management records.
The home was rated Good for Safe, Effective and Caring. Inspectors found people were protected from abuse and avoidable harm, received medicines as prescribed, had suitable care plans and risks were managed. Staff were trained, people were treated with kindness and relatives were involved in decisions.
Responsive and Well-led were rated Outstanding. Inspectors found care was highly personalised, especially for people living with dementia. Activities, the environment and links with the local community were tailored to people's interests and needs. Leadership was described as exceptional, with strong quality checks and a stable staff team.
The overall rating was Outstanding. This was an improvement from Good at the previous inspection, published on 25 June 2019. The home will continue to be monitored through information received by the CQC.
Personalised dementia care
The home used structured dementia approaches, regular observations and tailored therapies to recognise distress early and improve wellbeing.
“The service had strongly embedded the standards of the Dementia Care Well-being framework to support people living with dementia.” from the report
Meaningful activities
People had personalised activities linked to their interests, past lives and abilities. The home also helped people build relationships with schools, community groups and local organisations.
“The service had explored people's past interests and passions and supported them by giving them a role in the home which would instil a sense of pride and belonging.” from the report
Stable staff team
The home reported that it had not used agency staff since October 2018. Staff were developed and promoted internally, helping provide continuity for people.
“We saw these staffing initiatives had been highly effective and the service had not used any agency staff since October 2018.” from the report
Strong leadership
Inspectors found an open and positive culture, with quality checks covering areas such as care plans, medicines, infection control and accidents.
“A robust system was in place to monitor and improve the quality of care people received.” from the report
Call-bell response times
needs fixingRelatives gave mixed feedback about staffing levels and how quickly call bells were answered. The home monitored response times, but families should ask how this works in practice for the person needing care.
“There has been difficulty with staff at times and it's sometimes a while before the bell is answered.” from the report
- 01How quickly are call bells usually answered, especially during busy periods or at night?
- 02How will you use the person's life history, likes and dislikes in their care plan and daily activities?
- 03Which dementia care approaches and therapies would be used for this person, and how would you measure whether they help?
- 04How do you make sure staffing levels are sufficient on every shift, including when staff are absent?
- 05How would the family be involved in reviewing care and making best-interest decisions if the person could not decide for themselves?
This was an unannounced inspection of the care home, including care and premises, and it considered all five CQC key questions; infection prevention and control was also checked because of COVID-19 risks. This explanation was written from the published report of 23 July 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2019
Badgeworth Court Care Centre was rated Good; inspectors found safe, caring and well-managed care, with dementia support still being developed.
Inspectors visited on 2 and 7 May 2019 without giving advance notice. They spoke with people, relatives, staff and healthcare professionals. They also checked care records, medicines, complaints, accidents, training, recruitment and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable care plans, kind staff and activities that met people's interests and wellbeing needs.
This inspection followed a Requires Improvement rating in 2018, when four legal requirements had not been met. Inspectors found the home had improved and that the previous concerns had been addressed. The home will continue to be monitored under the normal inspection schedule for services rated Good.
Improved management
People and relatives said the home had improved greatly since the new registered manager started in 2018. Inspectors found stronger leadership and quality checks.
“People and their relatives felt the service had dramatically improved since the registered manager came into post in 2018.” from the report
Safe staffing
Inspectors found enough staff to meet people's needs. Recruitment checks were completed, and the home had not used agency staff since August 2018.
“There were enough staff, at any given time, to meet people's needs.” from the report
Kind and respectful care
Staff supported people with dignity and compassion. They encouraged people to make choices and remain involved in their care.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised activities
People could choose from activities, outings and community events. The home also acted on feedback, including starting a gentlemen's club and creating memory boxes.
“People had access to varied activities and engagements which met their wellbeing needs.” from the report
Learning from incidents
The home investigated accidents and incidents, looked for patterns and changed practice where needed. Inspectors found examples of lessons being shared with staff.
“Incidents and accidents were reported, recorded and investigated to find out why things had gone wrong and ensure appropriate action was taken to keep people safe.” from the report
Dementia support was still developing
minorThe provider and manager had plans to increase stimulation and support for people living with dementia. This was identified as an area for continued improvement, although the overall Responsive rating was Good.
“The registered manager and provider had clear plans to increase the stimulation and support people living with dementia received.” from the report
- 01What progress has been made with the plan to increase stimulation and support for people living with dementia?
- 02How do you check that staffing levels remain enough on every unit, including during staff absences and handover times?
- 03How are relatives involved in creating and reviewing care plans?
- 04How do you check that medicines are stored and administered safely, including liquid medicines and controlled drugs?
- 05How do you maintain the management stability that relatives said had improved the home?
This was a planned, unannounced inspection covering all five CQC questions and following up the four breaches found at the previous inspection. This explanation was written from the published report of 25 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Badgeworth Court Care Centre
6 rated inspections over 6 years: the service has improved, from Good to Outstanding.
- July 2022Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Badgeworth Court Care Centre →
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Badgeworth Court Care Centre →
- May 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2017Goodstayed GoodSafe: Requires improvementEffective: Good
- March 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
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