Background to this inspection
Updated
19 January 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 Care Act 2014.
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
This inspection was carried out by two inspectors and a specialist nurse advisor.
Service and service type
Bentley House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
This inspection was carried out on 25 May 2021.
What we did before the inspection
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. The provider submitted a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with nine members of staff in addition to the provider, registered manager, and regional support manager.
We reviewed a range of records. This included six people’s care records and ten people’s medication records. We looked at records in relation to recruitment and a variety of records relating to the management of the service
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at care records, incident reports, training data, provider action plans and quality assurance records. We spoke with three further staff to validate evidence found. We met with the provider on 11 June 2021 to provide feedback and understand what actions they had taken in response to our feedback.
Updated
19 January 2022
About the service
Bentley House is a residential care home providing personal and nursing care to people aged 65 and over, some of who were living with dementia at the time of the inspection. The service can support up to 90 people. There were 60 people living at the home at the time of our inspection but only 48 were in receipt of accommodation and personal care.
Bentley House accommodates people across six floors in one purpose-built building. Each floor of the building has separate adapted facilities that accommodate people who require nursing, dementia and residential care.
People's experience of using this service and what we found
Staff told us there were not enough staff deployed in the home to support people. People's risk assessments were not always accurately completed. Incidents that suggested people may have been at risk of harm were investigated but safeguarding concerns were not reported as required. Prior to this inspection people had not received their medicine as the prescriber intended.
Further improvements were required to governance systems to ensure the concerns found during the inspection were identified as part of the home's own auditing systems. Staff told us they did not all feel valued by or engaged with the management of the service.
People felt safe living in Bentley House. Risk to people's health and welfare were identified and staff knew how to support these needs safely. People said there were sufficient staff and were happy living in the home.
Infection control procedures were followed and assured safe practices were followed with regards to social distancing and the use of PPE.
Staff told us there was enough training available to support them in their roles, with supervision sessions also held to discuss their work. People told us they received appropriate support to maintain good nutrition and hydration and the home had good links with other health care professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received person centred care. People were supported kind and caring staff who they trusted. Staff promoted people's independence and respected their rights, privacy and dignity. Staff knew people well and respected their choices and culture.
People and their relatives were actively involved in the development of their support plans. These were personalised and reflective of how people wished to receive their care. People were supported to pursue hobbies and interests and supported to avoid social isolation.
People's views about the service were sought individually and through meetings and surveys. People and relatives told us the registered manager and provider were approachable and they were confident concerns would be addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good [published 12/10/2017].
Why we inspected
This was a planned inspection based on the previous rating. 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 will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.