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Inspection Summary


Overall summary & rating

Good

Updated 14 September 2017

This inspection took place on the 11 and 12 May 2017 and the first day was unannounced.

Beth Ezra is a residential care home that provides accommodation and personal care support for up to 18 older adults. People living at the home had a range of needs and some people were living with dementia. There were 18 people using the service at the time of our inspection.

At the last inspection in 2015, the service was rated Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards.

People continued to feel safe and well cared for at Beth Ezra. Relatives shared similar confidence in the service. Assessments were undertaken to identify risks that may be involved when meeting people's needs. Staff were aware of people's individual risks and knew what to do to keep people safe. They understood their responsibilities to report any concerns they had about people’s care and welfare and how to protect people from abuse.

The environment remained well maintained and comfortably furnished. People had the equipment they needed to meet their assessed needs. Health and safety checks were carried out to make sure the premises and equipment was safe.

Medicines were managed safely and people had their medicines at the times they needed them. People were supported to maintain good health and attend routine health care appointments. The service involved other professionals when this met an identified need. For example, when people became unwell or required additional services.

People were encouraged and supported to eat and drink well. There was a varied daily choice of meals and staff took prompt action when people were at risk of poor nutrition or dehydration.

The service remained responsive to people's individual needs. People were involved in their care planning, and staff respected their choices and promoted their independence. Care plans were updated to reflect any changes and ensure continuity of their care and support.

Activities were varied and arranged according to people’s needs and interests. The home employed an activity coordinator who supported people to take part in activities either individually or in groups.

People experienced positive, caring relationships with the staff and this extended to relatives and other visitors. Staff treated people with respect and kindness and maintained people’s privacy and dignity.

The provider continued to follow safe recruitment practices and people felt there were enough staff to support their needs. Staff received an induction and ongoing training to support people with their care needs and develop their knowledge and skills.

People's care records recognised their rights and were person centred. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the home supported this practice.

The registered manager continued to provide effective leadership. People and their relatives were comfortable to raise any issues and felt they were listened to. Staff felt supported and had regular opportunities to discuss and review their development and performance.

The provider had good oversight of the quality of the service. People were involved in reviewing and providing feedback on the care and support they received. Where improvements were needed or lessons learnt, action was taken.

Inspection areas

Safe

Good

Updated 14 September 2017

The service remains Good

Effective

Good

Updated 14 September 2017

The service remains Good

Caring

Good

Updated 14 September 2017

The service remains Good

Responsive

Good

Updated 14 September 2017

The service remains Good

Well-led

Good

Updated 14 September 2017

The service remains Good