CQC report explained · a residential care home
What the CQC found at Buddleia House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and risks were assessed and managed. Inspectors noted only two staff at night, which could leave no staff available for others when two staff were needed for repositioning.
- Effective?
- Outstanding
- The home achieved excellent outcomes through innovative dementia care, creative support with eating and drinking, meaningful activities and a carefully designed environment. Staff had the training and knowledge to support people's individual needs.
- Caring?
- Good
- People were treated with respect and dignity. Staff knew people well, supported independence and offered help discreetly.
- Responsive?
- Good
- Care was personalised around people's interests, preferences and communication needs. Relatives praised the activities, but some found it difficult to get through to the home by telephone.
- Well-led?
- Good
- The home had clear quality checks, an improvement plan and a culture of continuous learning. The home acted quickly when inspectors found medicines recording discrepancies.
What inspectors found, September 2021
Buddleia House Care Home was rated Good overall, with Outstanding effective care, but inspectors raised questions about night staffing, medicines records and family involvement in care-plan reviews.
This was the first inspection since the home registered. It was a planned, unannounced inspection carried out over 4 and 7 May 2021. One inspector spoke with people, relatives and staff, and checked care records, medicines records, staff files and quality checks.
The home was rated Good for Safe, Caring, Responsive and Well-led. It was rated Outstanding for Effective. Inspectors found kind, personalised care, strong dementia support, good access to health professionals and creative support with eating, drinking and activities.
There were some areas to watch. Only two staff were working at night, medicines records did not always match the actual stock, and relatives were not always involved in regular care-plan reviews. The home acted on the medicines issue and said it would review night staffing.
Nutrition and hydration
The home used tailored equipment, food presentation and choice to help people eat and drink independently. Staff knew people's dietary needs and preferences well.
“People's nutritional needs and preferences were discussed in regular meetings with the catering department.” from the report
Dementia-friendly environment
The building, garden, signs, lighting and activities were designed to support orientation, independence and meaningful daily life for people living with dementia.
“Significant attention had been given to ensure that the environment at Buddleia House could support people with dementia well.” from the report
Personalised activities
People were supported to use their interests and abilities through activities such as gardening, book club, baking and crafts.
“People were supported to take part in meaningful activities to promote independence and to give them a purpose to their day.” from the report
Access to health support
The home worked with health professionals when people needed extra help, including support with nutrition and skin protection.
“People had good access to health care professionals to help keep them healthy.” from the report
Respectful care
Staff spent time with people, knew their interests and supported privacy, dignity and independence.
“People were treated with respect. Interactions between people and staff were warm and showed they knew each other well.” from the report
Night staffing
seriousThere were only two staff at night. Inspectors found that some people needed two staff for regular checks and repositioning, leaving no other staff available to support other people.
“however there were only two staff at night. Some people required regular checks and repositioning during the night to prevent pressure sores which required support from two staff.” from the report
Medicines records
needs fixingThe actual number of medicines did not always match the stock recorded electronically. The home took immediate action and added extra checks.
“The actual number of medicines did not always tally with the stock recorded on the eMAR's.” from the report
Family involvement in reviews
needs fixingRelatives were usually consulted before a person moved in, but they were not always involved in later care-plan reviews. Inspectors recommended improving this process.
“Most relatives told us they had been consulted about their loved one likes, dislikes and personal history prior to them moving into the home, however they had not always been involved in regular reviews after that.” from the report
Telephone communication
minorSome relatives said they struggled at times to get through to someone by telephone. Other relatives said they were mostly kept informed about health changes and incidents.
“Some relatives told us that at times they struggled to get through to speak to someone over the phone and the communication channels could be improved.” from the report
- 01What changes have you made to night staffing since the inspection, and how do you ensure people needing two staff for repositioning are supported promptly?
- 02What additional checks are now used to make sure the actual medicines stock matches the electronic medicines record?
- 03How will relatives be involved in regular care-plan reviews?
- 04Who should families contact if they cannot get through by telephone, and how quickly will calls be returned?
- 05How will you continue the dementia activities and nutritional support described in the report for a new resident?
This was the first comprehensive inspection of the newly registered home, covering all five key questions and infection prevention and control under Safe; there was no previous rating to carry over. This explanation was written from the published report of 8 September 2021 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 Buddleia House Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2021Goodcurrent ratingSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- March 2019
Registered with the Care Quality Commission on 27 March 2019.
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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