27 February 2023
During an inspection looking at part of the service
Betsy Clara Nursing Home is a residential care home providing accommodation and personal and nursing care to up to 50 people. The service is arranged across 2 levels with a lift to the upper level. The service provides support to a range of people including people with complex nursing needs and people living with dementia. At the time of our inspection there were 45 people using the service.
People’s experience of using this service and what we found
People told us they felt safe and were happy living in Betsy Clara Nursing Home. One person said, “I like being here.” Another said they liked it because they had a “nice comfy bed”. Relatives agreed that their loved ones were safe and happy. One relative told us, “She is safe. Nothing is any trouble. They always answer my questions.” Another relative said, “She is safe, and the staff are great. She talks to the staff and finds them friendly.”
People and their relatives spoke positively about the staff and the service. One person said, “The staff are very caring.” Another person said, “The carers are nice, they do the jobs I should be doing.” One relative told us, “The staff treat them like they are part of the family.” Another relative said, “They treat her like a friend, we like that.”
The service had good infection control practices in place and medicines were managed safely. People told us they got their medicines at the right time. There were processes in place for investigating any accidents or incidents so that lessons could be learned.
Relatives told us they thought the home was managed well and they found the registered manager approachable and understanding. Relatives and professionals said Betsy Clara Nursing Home was always very welcoming. The service had acted on feedback received and people, relatives and professionals described the communication as ‘excellent’.
The registered manager had effective quality assurance processes in place to monitor the service, and regular audits were undertaken, for example for medicines and infection control. Senior managers visited the service regularly. Staff told us the registered manager was approachable and supportive.
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.
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 29 May 2018).
Why we inspected
The inspection was prompted in part due to concerns we received about safe care and treatment and standards of care. As a result, we undertook a focused inspection to review the key questions of safe and well led only. We found no evidence during this inspection that people were at risk of harm from these concerns.
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 remains good based on the findings of this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Betsy Clara Nursing 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.