Baylham Care Centre is a care home with nursing providing care and support for younger adults and older people, some of whom have complex health needs, and offers rehabilitation to enable people to recover their health and return to their own homes. The service has capacity to take up to 55 people, but routinely only uses only 51 of the rooms. At the time of our inspection there were 48 people living in the service, some of whom were living with dementia. This is a purpose built home that was designed with care to suit the needs of the people who would be living there.

At our last inspection on 23 July 2015, the service was rated good overall and required improvement in the safe key question, during that inspection we found that the service did not have suitable arrangements in place for the safe management of medicines. Nor were the medicines stored safely for the protection of people who used the service. At this inspection we found the service had promptly made the necessary changes to the way they managed and stored medicines and had made significant improvements in the quality of service they offered people overall. They were now offering an outstanding service to the people who lived at the Baylham Care Centre, the standard of care at the home was exceptional, innovative, person centred and creative.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. Statutory notifications received showed us that the registered manager understood their registration requirements.

The people who lived in the service told us that they felt safe and very well cared for. They believed that the care workers were committed to caring for them to a high standard and knew what support they needed to be well looked after.

Staff were well trained and supported to meet people’s needs and to keep them safe. They were able to clearly describe their roles and responsibilities as well as the organisational structure and who they would go to for support if this was needed.The staff were highly motivated and there were ample numbers of staff on duty at every level to protect people from harm. Risks to people were assessed and steps had been put in place to safeguard people from harm without restricting their independence unnecessarily.

People were always asked for their consent by staff before supporting them in their day to day care. Staff were provided with training in safeguarding adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager knew how to make a referral if required. People were supported to have maximum choice and full control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.

People’s mealtime experiences were positive and an enjoyable part of their day. They were supported to eat and drink enough to maintain a balanced diet. They were also supported to maintain good health, regain abilities after serious illness and fully access healthcare services. The service also offered rehabilitation and physiotherapy to people and had their own in house physiotherapy and occupational therapist teams.

We saw many excellent examples of positive and caring interactions between the staff and people living in the service. Staff went out of their way to make people feel that they were the centre of attention and that they got what they needed to retain control of their lives and to have their say in the running of the service. People were able to express their views openly and staff listened to what they said and took action to ensure their decisions were acted on. The service

This inspection took place on the 23 July 2015 and was unannounced.

Baylham Care Centre is a care home with nursing providing care and support for people with complex health needs, people living with dementia and rehabilitation for up to a maximum of 55 people.

On the day of our inspection there were 48 people living at the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service did not have suitable arrangements in place for proper and safe management of medicines. Medicines were not stored safely for the protection of people who used the service.

You can see what action we told the provider to take at the back of the full version of the report.

Staff were appropriately trained and skilled and provided care within a safe environment. They had been trained and were knowledgeable in recognising signs of abuse and the manager followed the required safeguarding notification procedures.

There was sufficient staff available on the day of our visit to meet the assessed needs of people. Staff received the supervision support and training they needed in order to carry out the range of roles and responsibilities they were employed for.

The service was well led. The manager carried out regular quality and safety monitoring of the service. People and their relative’s views had been sought and plans were put in place in response to areas where people had identified a need for improvement of the service.

The manager had implemented innovative systems of care and support to improve the sense of wellbeing for people living with dementia. For example, with regards to the environment and access to group and personalised activities.

This inspection took place on the 23 July 2015 and was unannounced.

Baylham Care Centre is a care home with nursing providing care and support for people with complex health needs, people living with dementia and rehabilitation for up to a maximum of 55 people.

On the day of our inspection there were 48 people living at the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service did not have suitable arrangements in place for proper and safe management of medicines. Medicines were not stored safely for the protection of people who used the service.

You can see what action we told the provider to take at the back of the full version of the report.

Staff were appropriately trained and skilled and provided care within a safe environment. They had been trained and were knowledgeable in recognising signs of abuse and the manager followed the required safeguarding notification procedures.

There was sufficient staff available on the day of our visit to meet the assessed needs of people. Staff received the supervision support and training they needed in order to carry out the range of roles and responsibilities they were employed for.

The service was well led. The manager carried out regular quality and safety monitoring of the service. People and their relative’s views had been sought and plans were put in place in response to areas where people had identified a need for improvement of the service.

The manager had implemented innovative systems of care and support to improve the sense of wellbeing for people living with dementia. For example, with regards to the environment and access to group and personalised activities.

We spoke with six people using the service and two relatives who were visiting the service on the day of our inspection. They all confirmed to us that they were satisfied with the care received. One person using the service told us, "I am happy. Staff share a joke with me. I like to go into the garden." Another person said, "I feel fine. I am not thirsty. I get plenty of drinks." A relative told us, "We are very happy with the standard of care here. Staff understand the needs of people with dementia and offer kindness and sensitive support. When my relative is aggressive, we have seen that staff deal with this extremely well."

We found that people's needs were well supported by the service. People had regular access to other healthcare professionals and assessments were in place to manage the risks faced by each individual. Staff understood the needs of people who have dementia and demonstrated that they knew how to maintain people's dignity and independence. We saw that plans were in place to further develop the care provided to people with dementia.

We found that the premises were clean on the day of our inspection. Infection control procedures were followed by staff, who demonstrated that they knew how to minimise the spread of infection.

People had access to nutritious and appetising food and were supported to maintain a healthy fluid balance. We saw that people were supported discreetly by staff at lunch time and that people enjoyed their food.

We spoke with seven people to find out what it was like to live in Baylham Care Centre. People told us they were happy with the service. One person told us, “The staff do their best here, the ones I have met so far have been quite good”. One person told us that, “It is all good here, I like it here, I do truthfully”. One person described the service and the food as, “Very good really, couldn’t fault it, we get a variety of food each day”. One person told us, “I can honestly say there is not one member of staff I do not like, I am really happy here”.

We spoke with a relative visiting the service. They were very positive about the care, treatment and support their relative received at Baylham Care Centre. They told us that since their relative had moved to the service they had “Come on in leaps and bounds”. They told us that staff were always ready to listen and that they were kept informed about changes to their relative’s health and wellbeing.

We found that care was provided according to people's assessed needs and people were asked for their views about the service. We spoke with seven staff who told us that they enjoyed working at the service. We found that staff were recruited appropriately, well trained and had the skills required to provide safe care.

The people living in Baylham Care Centre Limited and their family members told us that they liked living there, that the care staff showed them respect and worked hard to look after them. They also told us that they were comfortable in the newly built home.