Provider Name: Bupa Care Homes (CFHCare) Limited
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We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This fully comprehensive inspection took place on 10 April 2018 and was unannounced. The inspection was undertaken by three inspectors, a specialist nursing advisor, and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. A specialist advisor is a qualified health professional.
Prior to our inspection visit we contacted the local authority and clinical commissioning officers for information about the service. Commissioners are people who work to find appropriate care and support services, which are paid for by the local authority or health service. They informed us of concerns they had about the administration of medicines, staffing, and management of the service. We also looked at information the CQC had received from the public through our 'share your experience' website, and the statutory notifications received from the provider. A statutory notification is information about important events, which the provider is required to send to us by law.
During our inspection visit we talked with seven people who used the service and seven sets of relatives. We spoke with the registered manager, the clinical lead, the quality manager for the service, the maintenance worker, seven care and nursing staff, the receptionist, and six NHS staff who supported people using the intermediate care unit. We undertook a 45 minute SOFI (Short Observational Framework Inspection). A SOFI is a way of observing care to help us understand the experience of people who could not talk to us. During our visit we also spent time observing staff engagement with people.
We also looked at the care records of three people on the intermediate care unit; three people on the dementia unit; and one person on the general nursing floor. We looked at a sample of medication records on both floors, checked health and safety documentation, premises and equipment maintenance checks, quality audits, training records, staff recruitment records, staff rotas and staff dependency tools, and complaints records.
After our inspection visit we received information of concern about two people who lived at the home. We spoke by phone with the providerâs regional director about these concerns and other issues that had been raised at the inspection visit.
Last updated 11:50:10 18th Feb 2019 - Update Now
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