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CQC report explained · a residential care home, run by Adept Care Homes

Bowood Court & Mews

Hewell Road, Redditch, B97 6AT

Goodpublished 28 March 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Risk assessments and care plans had improved, and staff took action to reduce identified risks. Medicines were administered safely, but records of some late medicines and controlled-drug checks were not always complete.
Effective?
Good
People's needs were assessed and healthcare referrals were made when needed. Mealtime support was inconsistent on the day of inspection, although the provider acted on the feedback and found no evidence of weight loss.
Caring?
Good
This key question was not inspected during this focused inspection. The previous rating was carried forward when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this focused inspection. The previous rating was carried forward when calculating the overall rating.
Well-led?
Requires improvement
The service had improved its systems but they were not yet fully established or consistent. People and relatives were unclear about who was in charge, and some notifications to CQC were late.
The latest report, explained

What inspectors found, March 2024

Rated Good overall, but well-led Requires Improvement; inspectors found safer care after earlier breaches, with medicines records and management clarity still needing work.

This was an unannounced, focused inspection on 7 November 2023. Inspectors checked safe, effective and well-led care. They spoke with people, relatives, staff and a visiting professional, observed care, and reviewed care, medicines, staff and management records.

The home had improved since its previous inspection. Risk assessments and care plans were better, staff understood safeguarding, the home was clean, and people could access healthcare. Medicines were administered safely, but some records and controlled-drug checks were not consistently completed. The provider acted immediately on these issues.

Safe and effective were rated Good. Well-led remained Requires Improvement because management arrangements were unclear, some required notifications had not been made on time, and improvements still needed to be embedded. The provider was no longer in breach of the regulations identified at the previous inspection.

What inspectors praised

  • Personalised care planning

    Care plans were detailed and reflected people's current needs, preferences and risks. Staff had guidance on how to provide person-centred care.

    “Care plans were comprehensive, personalised and detailed people's current care needs and included how to safely manage any identified risks.” from the report

  • Safer risk management

    The home had improved its approach to assessing and managing risks, including choking risks and modified meals.

    “The provider had improved how they assessed risks to ensure people were safe. Staff took action to mitigate any identified risks.” from the report

  • Clean environment

    Inspectors found the home clean, without unpleasant smells, and saw appropriate infection-control practices.

    “The service was clean and odour free. The service had appropriate cleaning schedules in place.” from the report

  • Kind staff approach

    Staff spoke kindly about the people they supported and showed commitment to providing good care.

    “Staff we spoke with talked about people in a kind and compassionate manner and were passionate about providing good care.” from the report

  • Improved activities

    Activities were being developed and inspectors saw people enjoying the newer activities.

    “Activities were in the process of improvement and enrichment, and we observed people enjoying the new activities.” from the report
What inspectors were concerned about

  • Medicines records and checks

    needs fixing

    Controlled-drug checks did not always follow the home's policy. Some medicines were given late without the reason being recorded, although inspectors found no impact on people and the provider acted during the inspection.

    “Although we found no impact on people, improvements were needed in the record keeping of medicines and stock checks of controlled drugs.” from the report

  • Unclear management arrangements

    needs fixing

    People and relatives were not always sure who was in charge. There had also been changes in managers, and some staff said management support and supervision were inconsistent.

    “People and their relatives struggled to identify who was the manager in charge of running the service.” from the report

  • Inconsistent mealtime support

    needs fixing

    On one floor, some people did not appear to receive the support they needed to eat and drink enough. The provider introduced further checks and actions after inspectors raised this.

    “On the day of our inspection, we observed some people were not supported to eat and drink enough to maintain a balanced diet.” from the report

  • Mixed views about staffing and food

    minor

    Feedback from people and relatives varied about staffing, training and food. One person also said there was not enough choice in the meals.

    “Feedback from people and observations regarding the lunch mealtime experience was mixed.” from the report
Questions to ask them, based on this report
  1. 01Who is currently responsible for running the home, and how will families be told if this changes?
  2. 02How are controlled drugs now checked and recorded, and how do you make sure medicines given late have a documented reason?
  3. 03What has changed to make sure people receive the right support to eat and drink on every floor?
  4. 04What action has been taken to improve staff supervision, training and consistency?
  5. 05What can you tell us about the serious injury incident and any changes made to manage similar risks?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward to calculate the overall rating. This explanation was written from the published report of 28 March 2024 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 Bowood Court & Mews

5 rated inspections over 7 years: the service has held its Good rating throughout.

  1. March 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Bowood Court & Mews →

  2. January 2023Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. August 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2018Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. October 2015

    Registered with the Care Quality Commission on 23 October 2015.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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