This inspection took place on the 14 September 2015 and was unannounced. We last inspected this service on 5 February 2014. At that inspection we found that the provider was meeting all of the regulations that we assessed.
Bethshan Nursing Home is located on the outskirts of Whitehaven in a residential area. The service provides support for up to 33 people who may require nursing care and may also be living with dementia. Accommodation is provided on two floors and there is a passenger lift to help people to access the first floor. The home has a range of equipment suitable to meet the needs of people living there. The home mainly provides support to older people. All bedrooms are ensuite.
The general nursing unit is on the first floor and the lower ground floor is designated for the care of people with dementia.
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.
Everyone we spoke with told us people were safe and well cared for in this home. People knew how they could raise a concern about their safety or the quality of the service they received.
The service had carried out risk assessments to ensure that they protected people from harm.
There were enough staff to provide the support that people needed. People received their care from staff who they knew and who knew how they wanted to be supported. Medicines were ordered, stored, administered and disposed of correctly.
Staff had developed caring relationships with people who used the service. People were included in decisions about their care. The staff knew how people communicated and gave people the time they needed to make choices about their lives and to communicate their decisions.
The staff knew how to identify abuse and protect people from it.
The staff spent time with people and understood that this was an essential part of their role. The staff were trained and supported to provide people with the care they required. Support plans were based on thorough assessments and were written using a person centred approach.
People were provided with meals and drinks that they enjoyed. They were supported to take a good diet that was based on an assessment of their nutritional needs. People who required support to eat or drink received this in a patient and kind way.
The manager of the home was knowledgeable about The Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The Metal Capacity Act Code of Practice was followed when people were not able to make important decisions themselves. The manager understood their responsibility to ensure people’s rights were protected.
The atmosphere in the home was open and inclusive. People who lived there and their visitors were asked for their views and their comments were acted on. There was no restriction on when people could visit the home. People were able to see their friends and families when they wanted.
The service had sufficient staff to meet people’s needs.
The registered manager provided good leadership.
The provider had systems in place to ensure the delivery of good quality care.