Bedale Grange Care Home

Updated 24 February 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 4 February 2021 and was announced.

Updated 24 February 2021

We carried out a comprehensive inspection of Bedale Grange Care Home on 16, 17, 22 and 25 October 2018. The first day of the inspection was unannounced. At our last inspection in September 2017 we rated the service requires improvement. This was because improvements were required to ensure all environmental risks were identified and the provider's quality monitoring systems were effective in monitoring and improving the quality and safety of the service. At this inspection, we found the service had improved and we rated it good overall.

The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Bedale Grange Care Home provides nursing and personal care in one adapted building for up to 20 older people, some of whom are living with dementia. The property has been refurbished and is set over two floors. The first floor is accessed either by stairs or a passenger lift. At the time of this inspection 13 people were living at the service.

There was a registered manager in post. A registered manager is a person who has registered with the CQC 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.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe and well-led to at least good. At this inspection, the provider had improved their systems to ensure any environmental risks were identified. The provider had also improved their quality assurance processes to ensure they were effective in monitoring and improving the quality and safety of the service.

There were systems and processes in place to protect people from the risk of harm. Risk assessments had been completed to reduce the risk of harm Accidents and incidents were analysed to reduce the risk of reoccurrence. Staff understood the signs people may be being abused and how to respond to keep people safe.

Staffing levels were sufficient to meet people's needs. There were safe recruitment and selection procedures in place and appropriate checks had been undertaken before staff began work. Staff received the support and training they needed to give them the necessary skills and knowledge to meet people's assessed needs. The registered manager made sure people were involved and received effective care that met their needs and wishes. People were protected from discrimination and harassment.

People received food and drink of their choice. Staff responded quickly to people's changing needs and appropriate action was taken to ensure people's wellbeing was protected.

People received care in line with the Mental Capacity Act 2005 and received choice in relation to their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Person-centred care was provided by kind and caring staff who promoted people's independence. People were supported to maintain contact with family and friends and take an active part in recreational and leisure activities.

There were regular opportunities for people, relatives and staff to give their feedback on the service and the registered manager and provider had systems in place to monitor the quality of people's care and make improvements.