CQC report explained · a residential care home
What the CQC found at Bilton House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2020
Rated Good; inspectors found safe, kind and personalised care, but some risk and medicines records needed improvement.
This was an unannounced inspection on 8 and 10 January 2020. Two inspectors spoke with 10 people, two relatives and 11 staff. They reviewed care records, medicine records, audits, handover notes, safety checks and training information.
The home was rated Good overall and received Good ratings for Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated with kindness, respect and dignity. There were enough staff, medicines were generally managed safely, and people had access to activities and healthcare.
Inspectors found some records were not fully accurate or complete. These included one falls risk assessment, one catheter risk assessment, one medicines administration record and some mental capacity assessments. The registered manager acted quickly to correct the issues found during the inspection.
Kind and respectful staff
People and relatives said staff knew them well and treated them with kindness, respect and dignity.
“People told us they felt safe living at Bilton House and were looked after by care workers who knew them well and treated them with kindness, respect and dignity.” from the report
Enough familiar staff
Inspectors found there were enough staff to meet people's needs. Some staff had worked at the home for several years and knew people well.
“People received consistent care, as some of the staff had worked at Bilton House a number of years, so knew them well, and there were enough staff to meet their needs.” from the report
Personalised care and activities
Care was planned around people's histories, preferences and interests. People could choose from activities and were supported to maintain independence.
“Care plans were developed in partnership with people and their relatives, so their care was provided according to their individual needs and preferences.” from the report
Prompt healthcare support
Staff monitored changes in people's health and made timely referrals to healthcare professionals.
“Records showed prompt referrals were made to professionals including speech and language therapists and district nurses.” from the report
Dementia-friendly environment
The home used colour contrast, natural light and a sensory room to help people living with dementia understand and use their surroundings.
“The registered manager used research on colour schemes to help in the adaptation, design and decoration of the premises to be more dementia friendly.” from the report
Some risk assessments were incomplete or inaccurate
seriousOn the first inspection day, one person's falls assessment did not reflect their level of risk and another person did not have a catheter risk assessment. New assessments were put in place by the second day.
“one person's falls risk assessment did not accurately reflect the level of risk, and one person with a catheter did not have a risk assessment in place.” from the report
A medicines record gap was missed
needs fixingAudits had not identified a gap in one person's medicines administration record. The manager responded quickly to correct the issue.
“some of these audits had not identified a gap in medication recording for one person's medicine administration record we viewed” from the report
Mental capacity records were not always complete
needs fixingMental capacity assessments were not always formally recorded in care plans. The manager had identified this and introduced a new assessment form during the inspection.
“mental capacity assessments were not always formally recorded within people's care plans.” from the report
Some as-needed medicine guidance needed more detail
minorProtocols were in place for medicines given when needed, but the manager recognised that some needed more detail and made changes after the visit.
“The registered manager recognised some of the protocols could be more detailed and made changes to these after we visited.” from the report
- 01How do you check that falls and catheter risk assessments are accurate and kept up to date?
- 02How do you make sure every dose is recorded correctly on medicines administration records?
- 03How are mental capacity assessments recorded and reviewed in care plans?
- 04What activities would be suitable for my relative's interests, abilities and past life?
- 05How would you respond if my relative's health or care needs changed?
This was an unannounced inspection that considered the overall quality of the care home and rated all five key questions. This explanation was written from the published report of 19 February 2020 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, July 2017
Rated Good; inspectors found safe, kind and personalised care, but one safeguarding concern was not reported promptly.
This was a comprehensive, unannounced inspection on 6 June 2017. Inspectors spoke with people living at the home, visitors, relatives, staff, managers and a healthcare professional. They observed care and mealtimes and checked care plans, medicines, staff records, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, personalised care plans and good support with food, health needs, communication and activities.
The home had remained Good since the previous inspection. Inspectors found one safeguarding concern had not been shared promptly with the local authority or the CQC. The manager said future concerns would be referred to the right agencies straight away.
Safe medicines
Only trained staff gave medicines. Managers checked administration records and stock against prescriptions and care plans.
“Records showed that the registered manager or deputy manager regularly checked medicines were administered in accordance with people's prescriptions and care plans.” from the report
Kind and respectful care
Staff took time to understand people, support communication and protect privacy and dignity.
“Staff took time to listen to people and supported them to express themselves according to their abilities to communicate.” from the report
Personalised support
Care plans included people's histories, preferences and abilities. People and relatives were involved in deciding how support should be provided.
“Care plans were personalised, easy to understand and included details of how staff could encourage people to maintain their independence and where possible, make their own choices.” from the report
Meaningful activities
People were supported to continue hobbies and take part in activities such as cooking, gardening, prayer meetings, exercises and film club.
“People led fulfilling lives because they were engaged in activities that were meaningful to them.” from the report
Quality monitoring
The home used regular audits, meetings and trustee checks to identify and follow up improvements.
“There was an effective system that monitored the quality of service.” from the report
Safeguarding notification delay
needs fixingOne concern was investigated by senior staff but was not shared straight away with the local authority or the CQC. The manager gave an assurance that future concerns would be referred promptly.
“However, we found one concern had been investigated by senior staff, but had not been shared straight away with the local authority or the CQC.” from the report
- 01How do you now make sure every safeguarding concern is reported promptly to the local authority and the CQC?
- 02Has the additional night staff post, requested to help reduce falls, now been filled?
- 03How are any Deprivation of Liberty Safeguards arrangements affecting my relative authorised and reviewed?
- 04How often will my relative and our family be involved in reviewing their care plan?
- 05Which activities and religious or cultural support could my relative take part in?
This was a comprehensive inspection covering all five quality areas, and all five ratings were Good. This explanation was written from the published report of 19 July 2017 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 Bilton House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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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At least 100 live-in carers within about an hour of Warwickshire
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 £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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.