CQC report explained · a nursing home
What the CQC found at Bagshot Gardens Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, detailed risk assessments, safe recruitment and safe systems for medicines. They also found that accidents, falls and medicines errors were reviewed and used to improve care.
- Effective?
- Good
- Care plans reflected people's needs and included information about nutrition and modified diets. Staff had regular training, and people were supported to access health professionals.
- Caring?
- Good
- People and relatives said staff were kind, respectful and caring. Inspectors saw people being offered choices and treated with dignity and privacy.
- Responsive?
- Good
- Care plans included people's histories, preferences and communication needs. The home offered group and individual activities, supported family relationships and responded to complaints.
- Well-led?
- Good
- The manager had oversight of care, staffing, audits and incidents. People, relatives and staff were involved in decisions, and inspectors found an open and inclusive culture.
What inspectors found, August 2022
Signature at Bagshot was rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced inspection on 9 June 2022. Inspectors spoke with people, relatives and staff, observed care, and checked care plans, medicines, staff files and management records.
The home provided personal and nursing care for up to 99 people. There were 66 people living there at the inspection. Inspectors found enough staff, safe medicine systems, suitable care plans and good support with food, health care and communication.
People described staff as kind and respectful. The home offered activities and supported relationships, including visits and video calls during the pandemic. The manager had good oversight and involved people, relatives and staff in decisions.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the service registered under its current provider. The previous service rating, published in 2018, was also Good.
Enough staff
People said there were enough staff and rotas were matched to the needs of people living in the home.
“We reviewed rotas that were in line with the registered manager's dependency model.” from the report
Learning from incidents
The home analysed falls and medicines errors, then introduced changes and training. Inspectors found that both types of problem had reduced.
“The deputy manager had responded to a number of medicines errors by designing specific training to the home for the staffing team.” from the report
Kind and respectful care
People and relatives described staff as kind and caring. Inspectors also saw staff protecting people's dignity and privacy.
“People and relatives told us they were supported by kind and caring staff.” from the report
Activities and relationships
People could take part in activities suited to their interests and needs. The home also helped people maintain contact with relatives and the wider community.
“There was an activities team which provided a wide programme of group and individual activities seven days a week.” from the report
Good management oversight
The management team used audits, meetings and feedback to monitor the home and make changes.
“These audits were then bought together in an overarching quality assurance audit.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you match current staffing levels to my relative's needs, and what happens if their needs increase?
- 02How would you support my relative if they need a modified diet or are at risk of poor nutrition?
- 03Which activities would suit my relative's interests, communication needs or dementia-related needs?
- 04How are medicines errors, falls and other incidents monitored and explained to families?
- 05How would my relative and our family be involved in reviewing their care plan and making decisions?
This was an unannounced first inspection of the newly registered service and covered all five CQC questions, as well as infection prevention and control. This explanation was written from the published report of 6 August 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.
Every inspection of Bagshot Gardens Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- August 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 23 April 2018.
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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77 live-in carers within about an hour of Surrey
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.