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What the CQC found at Bucklow Manor Care Home

Goodpublished 25 February 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Risks were assessed and managed, there were enough staff, recruitment checks were completed and medicines were generally given safely. Inspectors noted a few issues, including missing opening dates on some creams and ointments.
Effective?
Good
The report does not give a separate rating or detailed findings for this question.
Caring?
Good
People and relatives spoke positively about the care. Staff knew people well, treated them with dignity and respect, involved people and relatives in care planning, and supported independence.
Responsive?
Good
The report does not give a separate rating or detailed findings for this question.
Well-led?
Good
Managers were visible and accessible, staff felt supported, and audits, meetings and feedback systems were in place. One equipment problem had not been identified by the checking system, but action was taken to strengthen it.
The latest report, explained

What inspectors found, February 2023

Rated Good; inspectors found kind, personalised care and improved management, with some building and record-keeping issues still being addressed.

The inspection was unannounced and took place on 31 January and 3 February 2023. One inspector spoke with people living at the home, relatives and staff. They observed care, reviewed records and checked medicines, recruitment, accidents, care plans and quality checks.

Inspectors found the home was safe, caring and well-led. People were treated with dignity, staff knew them well, and relatives said the home felt homely. There were enough staff, medicines were generally managed safely, and managers had better systems for checking the quality of care.

Some work was still needed. Parts of the building needed redecoration and one bathroom needed refurbishment. Inspectors also found a few record-keeping and checking issues, but the provider took action during or after the inspection. The overall rating was Good, and the home was no longer in breach of regulations.

What inspectors praised
  • Kind, individual care

    People and relatives described staff as kind and caring. Inspectors saw staff treating people patiently and respectfully.

    “Staff knew people well and treated them as individuals, with dignity and respect.” from the report
  • Stable staff team

    The home had recruited several new staff and was no longer reliant on agency workers. Staff said they had enough time to respond to people.

    “The provider had developed an effective strategy and had recruited several new staff.” from the report
  • Improved management

    Managers were visible, knew people well and had introduced stronger systems to oversee safety and quality.

    “Effective systems were now in place to oversee the safety and quality of the care provided.” from the report
  • Involvement of families

    People and relatives were involved through care planning, meetings and surveys. Relatives said managers listened and acted on feedback.

    “They involved the family in the care planning, the communication is excellent.” from the report
What inspectors were concerned about
  • Building work

    minor

    Parts of the building needed repainting and refurbishment, including a bathroom affected by a leak. A schedule of works was in progress.

    “Areas of the building needed redecoration and a bathroom required refurbishment.” from the report
  • Medicine records

    minor

    Inspectors found a couple of creams and ointments without their opening dates. The issue was raised with the manager.

    “however we saw a couple of examples where dates not been recorded and highlighted this to the registered manager.” from the report
  • Care decision record

    minor

    One best-interest decision needed to be recorded more fully. This was discussed with the manager.

    “However, we discussed one example with the registered manager where a best interest decision needed to be fully recorded.” from the report
  • Equipment checks

    minor

    One air-flow mattress had become deflated without the checking system identifying it. The manager acted immediately and strengthened the system.

    “In one example, systems had not identified an air-flow mattress had accidentally become deflated.” from the report
Questions to ask them, based on this report
  1. 01What work has been completed on the areas needing redecoration and on the bathroom affected by the leak?
  2. 02How do you make sure creams and ointments have their opening dates recorded?
  3. 03How are air-flow mattresses checked so that a deflated mattress is identified quickly?
  4. 04How are best-interest decisions recorded and reviewed?
  5. 05How will you meet my relative's needs in the Effective and Responsive areas, which were not separately rated in this report?

This inspection rated Safe, Caring and Well-led; the report does not give separate ratings or detailed findings for Effective or Responsive. This explanation was written from the published report of 25 February 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.

An earlier report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found strong infection control and visiting arrangements, but admission procedures were not always followed.

This was an announced, targeted inspection on 10 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.

Inspectors found that a recent COVID-19 outbreak had been limited and eradicated. The home was clean, staff had suitable training and protective equipment was available. Testing, screening and cleaning arrangements were in place.

Visits were supported through designated areas, rooms and a purpose-built visiting pod. The report also says the provider's admission procedures reflected government guidance but had not always been followed.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other key questions.

What inspectors praised
  • Outbreak control

    Inspectors found that training and management action had helped limit and end a recent COVID-19 outbreak.

    “Due to the good practice, training, and diligence of managers and staff a recent COVID-19 outbreak had been limited and eradicated.” from the report
  • Safe visiting

    The home offered several ways for relatives and friends to visit, including a purpose-built visiting pod and essential caregiver arrangements.

    “The provider had acquired a purpose-built visiting pod which was located directly outside the home at the front entrance.” from the report
  • Clean environment

    The home was clean, with enhanced cleaning schedules and protective equipment available in different areas.

    “The home was clean and free of malodour throughout.” from the report
What inspectors were concerned about
  • Admission procedures

    needs fixing

    The provider's policies reflected government guidance, but inspectors said they had not always been followed. Ask what has been done to make sure this does not happen again.

    “The provider's policy's and procedures were up to date and reflected government guidelines but had not always been adhered to.” from the report
Questions to ask them, based on this report
  1. 01What has changed to make sure the home's admission procedures are followed every time?
  2. 02How are new residents safely admitted during an infection outbreak or isolation period?
  3. 03What testing and health screening do visitors need to complete now?
  4. 04Can relatives visit in a resident's room, a designated area or the visiting pod, and what restrictions may apply?
  5. 05How are staffing pressures monitored and managed if COVID-19 affects staff availability?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 9 March 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.

The story over the years

Every inspection of Bucklow Manor Care Home

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. February 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bucklow Manor Care Home →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Bucklow Manor Care Home →

  3. November 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementCaring: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. October 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. March 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2012

    Registered with the Care Quality Commission on 12 January 2012.

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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