21 July 2022
During an inspection looking at part of the service
Bessingby Hall is a residential care home providing accommodation and personal care to up to 50 people. The service provides support to younger adults, older people, people living with dementia and people who have physical disabilities. At the time of our inspection there were 32 people using the service.
People’s experience of using this service and what we found
People were happy living at the service and they were supported by well trained staff. Staff understood their roles and knew what was expected of them. Risks to people were assessed and reviewed on a regular
basis. Staff were recruited safely and understood the principles of keeping people safe. Medicines were managed safely.
The environment was dementia friendly with accessible gardens. People and their relatives told us there were a wide variety of activities to participate in. Staff had clear knowledge of people's diverse needs and care and support was tailored to meet people's preferences.
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.
The registered manager had embedded a strong ethos of person-centred care which placed people's wellbeing at the heart of their work. Quality assurance systems in place, monitored the service effectively and drove improvements when they were needed. Lessons learnt were used as learning opportunities to continuously develop the service.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection.
The last rating for this service was requires improvement (published 20 April 2021).
Why we inspected
We received concerns in relation to the practice of staff for people who had a DNACPR in place. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, responsive and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bessingby Hall on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.