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Bessingby Hall Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 April 2021

Bessingby Hall is a residential care home providing personal care to 43 people aged 65 and over at the time of the inspection. The service can support up to 65 people in one adapted building, with a separate unit for people living with dementia.

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

A new management team had recently been appointed and were making improvements since our last inspection. They had identified where improvements were needed and had plans in place to embed them fully into the service.

People living at Bessingby Hall were happy and felt well cared for. Staff were recruited safely and understood the principles of keeping people safe. Risks to people were assessed and reviewed on a regular basis.

Staff were fully supported to understand their roles and responsibilities. People received their medicines as prescribed and the environment was clean and welcoming.

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.

We received positive feedback from staff, relatives and health professionals about the improvements made and the new management team. Quality assurance systems in place, monitored the service effectively and drove improvements. 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 and update

The last rating for this service was requires improvement (published 09 July 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to the management of medicines and people’s pressure area care needs. 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.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed and the service remains requires improvement. This is based on the findings at this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-led sections of this 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 meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 20 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 April 2021

Caring

Good

Updated 20 April 2021

Responsive

Requires improvement

Updated 20 April 2021

Well-led

Requires improvement

Updated 20 April 2021

The service was not always well-led.

Details are in our well-led findings below.