CQC report explained · a residential care home
What the CQC found at Bali Hai Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe medicine administration, safeguarding procedures, risk assessments and infection controls. They noted that formal medicine audits were not in place and some recruitment files needed improvement.
- Effective?
- Good
- This key question was not inspected during this focused inspection. Its rating was carried forward from the last inspection.
- Caring?
- Good
- This key question was not inspected during this focused inspection. Its rating was carried forward from the last inspection.
- Responsive?
- Good
- This key question was not inspected during this focused inspection. Its rating was carried forward from the last inspection.
- Well-led?
- Good
- Inspectors found approachable managers, regular staff communication and supervision, and systems for monitoring quality. They said these systems needed refining, especially around medicine audits and recruitment records.
What inspectors found, December 2023
Rated Good overall; inspectors found safe, well-led care, but asked for better medicine audits and recruitment records.
This was an announced, focused inspection. One inspector visited the home and an expert by experience spoke with relatives by telephone. Inspectors also spoke with people, staff and health professionals, and checked care, medicine, recruitment and quality records.
The home was rated Good for Safe and Well-led. Inspectors found enough trained staff, safe medicine procedures, good safeguarding, suitable risk assessments and a clean environment. People and relatives said they felt safe and were positive about the care and staff.
There were some shortfalls. Some staff files did not contain proof of address, formal medicine audits were not being completed, and there was no written record showing lessons learned after incidents. The home was asked to improve these areas, but no regulations were recorded as breached.
Enough trained staff
Inspectors found that staffing numbers and skills matched people's needs. New staff had induction training and shadowing before working independently.
“There were enough staff to support people's needs.” from the report
Safe medicines practice
Medicines were given as prescribed, recorded correctly and stored securely. Staff completed training and competency checks before supporting people with medicines.
“People were given their medicines safely and as prescribed, and it was recorded on their medicine administration record (MAR).” from the report
People felt safe
People and relatives told inspectors they felt safe. Staff understood safeguarding and knew how to raise concerns.
“I feel safe here. I have no worries. I've been here 26 years and I've never felt unsafe.” from the report
Positive atmosphere
Relatives gave positive feedback about the care, staff and atmosphere. People were encouraged to build confidence and take part in activities with risks managed.
“We're happy with the care. We're blessed. Staff are fabulous. A very good atmosphere within the home.” from the report
Open management
Staff had regular supervision and meetings, and said managers were approachable. Relatives said communication with staff was good.
“We have supervisions with the manager but we don't have to wait for a meeting or a supervision to discuss any issues.” from the report
Medicine audits
needs fixingDaily medicine checks were carried out, but there was no formal audit giving the manager clear oversight of medicine safety. Inspectors made a recommendation to complete audits regularly.
“However, the registered manager did not have a formal medicine's audit in place to ensure effective oversight.” from the report
Emergency evacuation plans
needs fixingPeople did not have personal emergency evacuation plans during the inspection. A plan for each person was completed after the inspection.
“However, people did not have a personal emergency evacuation plan (PEEPS) in place.” from the report
- 01How often are formal medicine audits now completed, and what did the most recent audit show?
- 02Have all staff recruitment files been updated to include proof of address and every required check?
- 03How are lessons from accidents and incidents now recorded and used to improve care?
- 04Does my relative have a personal emergency evacuation plan, and when was it last reviewed?
- 05How will you keep me informed about changes to my relative's care and support?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their ratings were carried forward from the 2017 inspection. This explanation was written from the published report of 9 December 2023 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, February 2022
Bali Hai Care Home was inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements.
This was an unannounced targeted inspection on 9 February 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting care.
Inspectors found that people and staff were regularly tested. The manager acted quickly when positive results were found. Staff had training in infection prevention and the safe use of protective equipment.
The home had up-to-date infection control guidance. It used risk assessments for visits and for people going out safely. The service was meeting the COVID-19 vaccination requirement that applied at the time.
The home was inspected but not rated. This means the report does not give an overall quality rating or full ratings for all five areas of care.
Testing and positive cases
People and staff were regularly tested. The manager acted quickly when positive results were found to support people and reduce risks.
“People and staff had regularly been tested for COVID-19 and where positive results had been returned the manager had acted quickly to support people and mitigate risks.” from the report
Staff training
Staff had received training on infection prevention and how to use protective equipment.
“All staff had received training on infection prevention control and how to use PPE effectively.” from the report
Infection control systems
Inspectors were assured that the home had effective arrangements for protective equipment, testing, hygiene, social distancing and managing possible outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people and staff tested now, and what happens when someone tests positive?
- 02How do you make sure staff use protective equipment correctly in practice?
- 03How are visits risk assessed, and what alternatives are offered if a visit cannot go ahead?
- 04How do you support safe trips into the local community or visits with relatives?
- 05How do you manage staffing pressures if COVID-19 affects staff availability?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not assess the other areas of care or provide a full service rating. This explanation was written from the published report of 22 February 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 Bali Hai Care Home
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- November 2017Goodstayed GoodSafe: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 January 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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51 live-in carers within about an hour of Southend-on-Sea
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 £960 to £1,200 a week. 44 can care for a couple. 12 years' experience on average.
“She brought fun and stimulation into mums life.”
“She was always cheerful and looking for ways to stimulate my mother. She became her "friend" and provided best care always.”
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.