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Bedwardine House Residential Care Home Good

Inspection Summary

Overall summary & rating


Updated 8 February 2017

Bedwardine house provides accommodation and personal care for a maximum of 25 older people. On the day of our inspection there were 24 people living at the home.

The inspection took place on the 10 and 11 January 2017 and was unannounced.

There was no registered manager at this home because the provider was both the registered provider and the manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered providers and registered managers 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.

Staff we spoke with were aware of how to recognise signs of abuse, and systems were in place to guide them in reporting these. They were knowledgeable about how to manage people’s individual risks, and were able to respond to them. People told us they were supported in a safe way and had their medicines as prescribed. The registered provider had systems in place to monitor how medicines were administered to ensure people were not at risk of poor practice.

People told us staff knew how to support them. Relatives said staff were well trained. Staff had up to date knowledge and training to support people. Staff respected people's rights to make their own decisions and choices about their support. People's permission was sought by staff before they helped them with anything. Staff spent time ensuring people understood what was being said to them, and used a range of communication methods. When people did not have the capacity to make their own specific decisions these were made in their best interests by people who knew them well and were authorised to do so.

People had food and drink they enjoyed and had choices available to them, to maintain a healthy diet. People said they had access to health professionals when they needed to. Relatives were confident their family member was supported to maintain their well-being and staff were responsive to changes with their family members health. Two members of the district nurse team confirmed staff made appropriate referrals to them and followed their advice.

People said they enjoyed living at the home and supported by kind and caring staff. Relatives told us they were reassured staff listened to their family members wishes and knew them well. People living at the home saw their friends and relatives as they wanted. People and their relatives explained how staff treated them as individuals and respected their choices. Staff told us they knew people well, and took their preferences into account and respected them.

People and their relatives were included in decisions about how care was provided. They knew how to raise complaints and felt confident that they would be listened to and action taken to resolve any concerns. People had access to interesting things to do and staff spent time with people to meet their needs. We saw staff knew people and their histories well.

The registered provider sought people’s views through meetings and questionnaires. The management team had responded to suggestions made by people, their families and staff where possible, and took an inclusive approach to improvements to the service.

The registered provider had systems in place to monitor the quality of care and treatment people living at the home received. They told us they had recently replaced key staff who were undertaking training to complete their new responsibilities, therefore some systems were in the process of being updated at the time of our inspection.

Inspection areas



Updated 8 February 2017

The service was safe

People were supported by staff who understood how to meet their individual care needs safely. People had their risks identified and staff were aware of how to manage them. People benefitted from sufficient staff to meet their needs in a safe and timely way. People were supported with their medicines by trained staff.



Updated 8 February 2017

The service was effective

People’s needs were met by staff that were trained and had the appropriate skills. People were supported to make their own decisions wherever possible. Staff had a good understanding of how to support people who needed help to make some decisions. People enjoyed the meals provided and were supported to maintain a healthy, balanced diet. People were confident they had the support of health care professionals when they needed to.



Updated 8 February 2017

The service was caring

People were supported by staff who were patient and caring, and provided support in a kind and friendly way. Staff took account of each person’s personal preferences and knew each person well. People were treated with dignity and respect and their diverse needs were met.



Updated 8 February 2017

The service was responsive

People received individualised care which considered their needs and preferences. People were able to engage in past times they enjoyed. People who lived at the home and relatives knew how to raise concerns and were confident they would be resolved by the management team.



Updated 8 February 2017

The service was well-led

People, their relatives and staff were encouraged to voice their opinions and views about the service provided. People and their families benefited from an open and inclusive culture. The provider had systems in place to monitor the quality of the service.