What the CQC found at Basford

Inspectors saw staff being patient, compassionate and reassuring. People said staff listened to them and respected their privacy.

“We observed staff to be kind and compassionate when supporting people, they were patient and considered in their approach when interacting with people.” from the report

Staff knew people's preferences, histories and routines. People helped plan their support and were encouraged to be independent.

“Staff spoke positively and respectfully about the people they supported, clearly demonstrating a good understanding of people's preferences, personal histories, routines and what was important to them.” from the report

Inspectors found that medicines were organised, given at the right times and checked through stock checks and audits.

“People received their prescribed medicines safely. We found the medicines systems were organised and people were receiving their medicines when they should.” from the report

The home had regular checks covering areas such as medicines, accidents and care plans. The provider also had an improvement plan.

“There was a system of audits and processes in place that continually checked on quality and safety.” from the report

People sometimes could not go out when they wished because staffing levels had been affected by increased physical care needs. Staffing was increased immediately after inspectors raised this.

“Some concerns were identified with staffing levels and immediate action was taken to increase the amount of staff on duty.” from the report

Some staff had not completed refresher training when required, including first aid training. The training was booked during the inspection.

“When reviewing the staff training plan, we saw some staff had not received refresher training at the required time.” from the report

Not all night staff had completed medicines training at the time of inspection. The manager later confirmed that these staff were enrolled as a priority.

“Not all night staff had received medicines training, whilst there was a plan to manage this action was taken to resolve this issue.” from the report

The service was clean, but some cleaning tasks were not recorded. The night schedule showed two missed entries shortly before the inspection.

“The night cleaning schedule showed two nights prior to our inspection, staff had not completed the cleaning schedule.” from the report

Some staff had limited understanding of mental capacity rules. Although best interest decisions had been made, the involvement of other relevant people was not always clearly recorded.

“Some staff demonstrated a limited understanding about MCA and DoLS even though they had received training and the provider had a policy to support and inform staff practice.” from the report