Bethany House Also known as Meadowview Care Ltd - Bethany House

Updated 27 May 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 COVID-19 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 inspection took place on 28 April 2021 and was unannounced.

Updated 27 May 2021

Bethany House provides accommodation and personal care support for up to two people with learning disabilities. At the time of our inspection there was one person living at the service.

At our last inspection in June 2015 this service was rated Good. At this unannounced inspection we found the overall rating for this service remained Good.

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 manager registered for this service is also registered for two other services local, nearby care services.

People remained safe at the service. There were sufficient staff available to meet people's needs and support them with activities both in and outside of the service. Risk assessments had been completed to enable people to retain their independence and receive care with minimum risk to themselves or others. Guidance had been provided for staff in steps they should take to mitigate these risks.

People’s medicines continued to be managed safely and people received their medicines as prescribed

There were enough suitably qualified, knowledgeable staff to provide people with support and guidance when they needed it. Staff had received appropriate training, support and development to carry out their role effectively.

Care plans were well organised, reviewed regularly and up to date. The plans contained information about what was important to people as well as information regarding their health care needs.

The staff were very caring and people had built strong relationships with staff. We observed staff being patient, kind and enabling people to maintain their independence. People's privacy was respected. People where possible, or their representatives, were involved in decisions about the care and support people received.

Staff understood and promoted people's rights in line with the requirements of the Mental Capacity Act 2005 (MCA). Staff had received training in MCA and had good knowledge of the principles and how to support people to make decisions about their day to day living.

There were systems in place to ensure that staff were trained, regularly competency assessed to ensure that people received their medicines as prescribed. Medicines were stored safely and appropriate records of administration maintained.

Staff were provided with training in Safeguarding Adults from abuse. Staff were provided with training in understanding their roles and responsibilities with regards to the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). People’s capacity to make decisions about their everyday lives had been assessed and their consent was considered in the planning and provision of their care and support

People were supported to maintain good health and had access to external health care professionals when required. This included health screening and access to learning disability nurses, GPs, psychiatrists, chiropodists and dentists.

People were provided with the opportunity to participate in personalised, meaningful activities according to their assessed needs, wishes and preferences. People were encouraged to develop as much independence as possible and learn new life skills. People had access to and supported to be integrated into the local community.

The provider had a system in place to respond to suggestions, concerns and complaints. The service had a number of ways of gathering people’s views including; regular reviews, meetings and satisfaction surveys. The registered manager carried out a number of quality and safety monitoring audits to ensure the service was running effectively and to plan for improvement of the service.

For a more comprehensive report regarding this service you can read the report from our last comprehensive inspection, by selecting the 'all reports' link for (location's name) on our website at www.cqc.org.uk