Background to this inspection
Updated
2 April 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Benridge Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us.
Benridge Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission who was also the provider. This means they are legally responsible for how the service is run and for the quality and safety of the care provided. The service employed a care manager who assisted the provider with the day to day running of the service.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
During the inspection
We undertook a physical inspection of the service. We spoke with three people living at the service, and five members of staff including the registered provider, the care manager, the deputy manager, the compliance officer and the activity co-ordinator.
We looked at records in relation to people who used the service including three care plans and multiple medication records. We also observed the delivery of care and support throughout the day. We looked at records relating to recruitment, staff rotas and systems for monitoring the quality of the service provided.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at environmental and quality assurance records. We also spoke with three relatives to help us understand their experience of the care and support their loved one received.
Updated
2 April 2022
About the service
Benridge Residential Care Home is a residential care home providing personal care to up to 27 people. The service provides support to older people, including those living with dementia. At the time of our inspection there were 20 people using the service.
The home is located in a Victorian dwelling and accommodation is over three floors. Facilities include two lounges, a dining area and an enclosed rear garden.
People’s experience of using this service and what we found
People living at the home benefitted from a service that was safe and well-led.
The service embedded a proactive approach to assessing and mitigating risks to people to help maintain people's safety. There was an open culture of learning from incidents, accidents and other relevant events. Adequate systems were in place to ensure the environment was sufficiently clean and well maintained. The service had undergone some refurbishment work since our last inspection. People received their medicines as prescribed and by staff who were trained and competent.
Staffing levels were sufficient to ensure people received the care and support they needed in a timely way. People received care that was person centred and based on their individual needs and preferences.
Clear and effective governance processes to monitor and improve the quality and safety of the service were in place. Processes were used to help drive improvement in the quality of care, which was underpinned by a commitment to deliver care and support tailored to the person.
The provider involved people, their relatives and staff in a meaningful way. People’s views were listened to and acted upon, meaning they had a direct say in the running of the home.
The registered manager acted in accordance with their legal and regulatory requirements and shared information in an open, honest and timely manner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (report published 8 July 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We carried out an unannounced focused inspection of this service on 7, 9, 14 and 21 April 2021. Breaches of legal requirements in safe care and treatment and good governance were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Benridge Residential Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.