Bentley Court Care Home

Updated 4 October 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

This inspection was completed by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bentley Court 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. Bentley Court Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

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. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service about their experience of the care provided and five relatives. We spent time in the communal area observing the support people received. We spoke with 12 staff members including carers, senior carers, nurses, the clinical lead, domestic staff and activities staff. We also spoke with the deputy manager, registered manager and other members of the provider’s management team who support the home. Following the site visit we had a video call with the registered manager to ask follow-up questions. We reviewed a range of records. These included seven people's care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies, audits and health and safety records were reviewed.

Updated 4 October 2022

About the service

Bentley Court Care Home is a nursing home providing nursing and personal care for up to 77 people. At the time of the inspection 36 people were living there including younger and older people who may have a physical disability or people with dementia. The building is a purpose built three storey building with all care provided on the first two floors. Some parts of the building were not currently in use as the home was not fully occupied.

People’s experience of using this service and what we found

There had been continuous learning and improvement. Some improvements were still needed to ensure records were correctly completed and systems were fully effective; however, many improvements had been made since the last inspection. People, relatives and staff felt positive about the registered manager and provider and felt things had improved since the last inspection. People and staff had been given the opportunity to feedback about care. The registered manager was clear about their duty of candour. The registered manager and provider worked in partnership with other professionals.

Checks were made on the building to ensure it remained safe. Lessons had been learned since the last inspection as improvements had been made. Risks to people’s health and wellbeing were assessed and planned for. If people’s health had changed, concerns were acted upon. People were protected from the risk of cross infection. People were supported to have visitors. Medicines were managed and administered safely. There were some omissions in medicines recording, but no one had come to harm as a result of this. There was some mixed feedback about staffing levels, however there were enough staff to support people. Staff were recruited safely. People were protected from abuse by staff who understood their safeguarding responsibilities.

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 were able to personalise their rooms. People had memory boxes available by their bedroom doors to help them identify their own room; these had not yet been filled. People were supported to access other health professionals and have their health needs monitored and concerns acted upon. People enjoyed the food, had choices and had enough to eat and drink to remain healthy. Staff received training so they could support people effectively.

People were treated with kindness and people liked staff. People had choices and were able to be involved in their own care and their choices were respected. People were supported in line with their cultural preferences. People were supported to be independent where possible.

People were supported by staff who knew them, and they had personalised care plans in place. People had access to activities of their choice and there were further plans to develop this area. People and relatives felt able to complain if needed. People had been given the opportunity to discuss their end of life wishes, if they chose to. People were able to access information or communicate in a way that suited them.

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 inadequate (published 28 April 2022). 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, although some further improvements were needed in well-led.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.