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CQC report explained · a residential care home

What the CQC found at Bainbridge Court

Goodpublished 1 December 2025, 10 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, November 2018

Rated Good overall; inspectors found safe, kind and personalised care, but the Effective rating Requires Improvement because capacity decisions were not consistently recorded.

This was a comprehensive inspection on 1 October 2018. The inspector spoke with people living at the home, relatives, staff and the manager. They observed daily life and checked care records, incident logs, complaints and other documents.

People were found to be safe and treated with kindness and respect. Staffing was well managed. Care was personalised, and people were supported with activities, communication, healthcare and daily choices.

The main weakness was in assessing whether people could make particular decisions for themselves. At times, decisions made in a person's best interests were recorded without first completing a capacity assessment. The home was rated Good overall, but Effective was rated Requires Improvement.

What inspectors praised
  • Good staffing

    There were enough staff, and the team was described as coordinated and flexible when people's needs changed.

    “There were sufficient numbers of staff to meet people's needs.” from the report
  • Kind relationships

    Inspectors observed positive interactions. Staff knew people well and supported them with respect, privacy and independence.

    “We observed positive interactions between people and staff, staff knew people well and had built trusting relationships.” from the report
  • Personalised activities

    Activities were based on individual interests and preferences. Inspectors saw people being supported to take part in activities they enjoyed.

    “Activities were an important part of people's lives and were led by people's choices.” from the report
  • Learning from incidents

    The home reviewed incidents and added guidance when needed, including guidance about communication to reduce the risk of a similar incident happening again.

    “Lessons were learned when things went wrong and accidents and incidents were managed safely.” from the report
What inspectors were concerned about
  • Capacity decisions were not consistently recorded

    needs fixing

    The home sometimes made best-interest decisions without first assessing whether the person could make the decision themselves. Records did not consistently show how decisions had been reached or who had been involved.

    “At times best interest decisions had been made without first assessing the person's ability to make the decision for themselves.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure a capacity assessment is completed before a best-interest decision is made?
  2. 02How do you record who was involved in each capacity and best-interest decision?
  3. 03What changes have been made since the inspection to improve this area of practice?
  4. 04How will you check that staff are following the updated approach in people's care records?
  5. 05How are people's views and choices included when decisions are made about their care?

This was an announced comprehensive inspection covering all five CQC questions, with observations, conversations and checks of care and management records. This explanation was written from the published report of 16 November 2018 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.

The story over the years

Every inspection of Bainbridge Court

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. November 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bainbridge Court →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2011

    Registered with the Care Quality Commission on 29 June 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.

Next steps

Weigh the report against the rest

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