You are here

Bennetts Castle Care Centre Good

Reports


Inspection carried out on 1 August 2018

During a routine inspection

This inspection took place on the 1 August 2018 and was unannounced. At the previous inspection in February 2017 the service was rated as Good overall. The Responsive question was rated as Requires Improvement. We found one breach of regulations because accurate and up to date records were not maintained in relation to people’s care and treatment. During this inspection we found this issue had been addressed.

Bennetts Castle Care Centre is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bennetts Castle Care Centre is a purpose-built care home which provides nursing care to older people, many of whom live with dementia. It is registered to provide care to a maximum of 64 people, 60 people were using the service at the time of our inspection.

The service has not had a registered manager in place since February 2018. There was a manager in place and we were told they intended to apply for registration with the Care Quality Commission in the near future. 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.

We have made one recommendation in this report, that records are maintained of checks on the emergency lighting systems at the service.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Procedures were in place to reduce the risk of the spread of infection. Medicines were managed safely.

People’s needs were assessed before they started using the service to determine if those needs could be met. Staff received on-going training to support them in their role. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used the service.

Inspection carried out on 1 February 2017

During a routine inspection

This inspection took place on the 1 and 2 February 2017 and was unannounced. At the previous inspection of this service in October 2014 we found one breach of regulations. This was because the service did not have effective systems in place for the safe administration of medicines. During this inspection we found this issue had been addressed.

Bennetts Castle Care Centre is registered with the Care Quality Commission to provide accommodation and support with nursing and personal care for up to 64 adults. At the time of our inspection 63 adults lived at the service. The service specialised in providing care to people living with dementia and nursing care needs.

The service had a registered manager in place. 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.

During this inspection we found one breach of regulations. This was because record keeping was not always completed appropriately. You can see what action we have asked the provider to take at the end of this report.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place and people told us they felt safe using the service. Risk assessments provided information about how to support people in a safe manner. Medicines were managed safely.

Staff undertook an induction training programme on commencing work at the service and received on-going training after that. People were able to make choices for themselves where they had the capacity to do so and the service operated within the Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

People’s needs were assessed before they began using the service. Care plans were in place which set out how to meet people’s individual needs. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the registered manager. Systems were in place to seek the views of people on the running of the service.

Inspection carried out on 1 October 2014

During a routine inspection

This inspection took place on 1 October 2014 and was unannounced. At the last inspection in August 2013 the service was found to be meeting the regulations we looked at. At this inspection we found that medicines were not always safely stored and administered. You can see what action we told the provider to take at the back of the full version of the report.

Bennetts Castle Care Centre is registered with the Care Quality Commission to provide accommodation and support with nursing and personal care for up to 64 adults. At the time of our inspection 62 adults lived at the service. The service specialised in providing care to people with dementia and nursing care needs. The service had a registered manager in place. 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.

The service met the regulations we inspected against at their last inspection which took place on 7 August 2013.

People told us they felt safe living at the service. We found staff had a good understanding of their responsibility with regard to safeguarding adults. The service sought to minimise the risks people faced, for example by assessing risks to individuals and implementing strategies to minimise those risks. There were enough staff working at the service to meet people’s needs. We found some instances where medicines were not stored and administered correctly.

Staff undertook training and received one to one supervision to help support them to provide effective care. Not all staff had an appraisal of their performance but this was an area the service had identified as in need of improvement. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People told us they liked the food provided and we saw people were able to choose what they ate and drank. People had access to health care professionals as appropriate.

We found that people were treated in a caring and sensitive manner. People told us staff treated them with respect. Staff were aware of how to promote people’s choice, privacy and independence.

People’s needs were assessed and met in a personalised manner. We found that care plans were in place which included information about how to meet a person’s individual and assessed needs. The commissioning team of the relevant local authority told us they did not have any concerns about the care and support provided at the service. The service had a complaints procedure and we found that complaints were investigated and where possible resolved to the satisfaction of the complainant.

The service had a registered manager and a management structure with clear lines of accountability. Staff told us the service had an open and inclusive atmosphere and senior staff were approachable and accessible. The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and meetings with various stakeholders.

Inspection carried out on 7 August 2013

During a routine inspection

People expressed their views and were involved in making decisions about their care and treatment. People told us they were treated with dignity and respect and were able to make choices about their care and treatment. Comments included "I tell them what I want to eat" and "I chose to wear this blouse, it's one of my favourites."

People told us they were they were satisfied with the care and treatment they received. Comments included "the staff are all okay, pretty good" and "they're lovely here." We saw that care plans were in place for each person. We saw that people had access to healthcare professionals. People told us they felt safe and would tell staff if they had any concerns. Comments included "I have no concerns" and "I've got no problems here."

People told us that they were satisfied with the staff. Comments included "everybody's so nice" and "they're a lovely lot." Appropriate checks were undertaken before staff began to work for the service. Staff files contained the necessary documentation. People said the staff and management of service were very open and approachable. One person said "If I had any concerns I'm confident they would deal with it." Staff told us they were not asked for their views about how the service operated.

Inspection carried out on 21 January 2013

During an inspection in response to concerns

People told us that the service was meeting their care needs and that the service supported them with social and leisure activities. One person said �we all went out to the pub last time.� We found that care plans and risk assessments were in place for people. People had access to health care professionals, including community nurses and GP's. We found that people were provided with sufficient amounts to eat and drink, and that they had choice over what they ate. One person said �if you don�t like the food you can say and they�ll give you something else.�

People told us they felt safe at the service. When asked if they felt safe, one person replied "yeah, oh yeah safe. I would not stay here otherwise." However, we found that many staff had not undertaken any training in safeguarding vulnerable adults, and some of the staff we spoke with had only a limited understanding of their roles and responsibilities with regard to safeguarding vulnerable adults.

We found that medications were stored securely, and that staff had regular supervision and training.

Reports under our old system of regulation (including those from before CQC was created)