Beth Ezra

Updated 6 May 2023

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 carried out by one inspector 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

Beth Ezra 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. Beth Ezra is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 9 people using the service and 3 relatives. We asked them for their feedback about the service. We observed interactions between people and staff to understand people’s experiences. We also spoke with the registered manager, the business manager, a trustee, a team leader, 2 care support workers, the administrator and the maintenance officer. We reviewed a range of records. This included 2 people's care records, medicines stock and administration records (MARs), 2 staff recruitment files and other records relating to the management of the service.

Updated 6 May 2023

About the service

Beth Ezra is a residential care home providing personal care to up to 20 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 18 people using the service.

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

People were safe at Beth Ezra. Staff had been trained to safeguard people from abuse and understood when and how to report safeguarding concerns to the relevant person/agency.

Staff were provided with current information about risks to people’s safety and wellbeing. They understood these risks well and what action they should take to help keep people safe.

There were enough staff to support people and meet their needs. People did not wait long for staff’s support and assistance when this was required.

Recruitment and criminal records checks were undertaken on staff to make sure they were suitable to support people. The registered manager was taking action after this inspection to make sure decisions to employ staff before all the relevant checks had been completed, were suitably risk assessed and documented.

Health and safety checks were carried out of the premises and equipment to make sure they were safe. The service was clean and hygienic because staff followed current infection control and hygiene practice, to reduce the risk of infection.

People’s relatives and friends were free to visit without any unnecessary restrictions

Medicines were managed safely and people took their medicines as prescribed.

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 satisfied with the care and support they received from staff. People’s views were sought about how the service could improve and the service acted on these.

The registered manager was suitably experienced and understood how people’s needs should be met. People knew who they were but said they would like more interaction with them. The registered manager already had a plan in place to increase their visibility and accessibility at the service. Staff felt valued and well supported by the registered manager.

The registered manager had oversight of the service. They undertook audits and checks to monitor and review the safety and quality of the service. They investigated all accidents and incidents and shared the learning from these with staff to help them improve the quality and safety of the support provided.

The service worked with healthcare professionals involved in people’s care and acted on their recommendations to deliver care and support that met people’s needs.

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 good (published 14 September 2017).

Why we inspected

We received concerns in relation to staffing, medicines administration, cleanliness and hygiene of the environment, the quality and safety of care provided to people and management and leadership of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

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 has remained good, based on the findings of this inspection. We found no evidence during this inspection that people were at risk of harm from the concerns we received.

Follow up

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