Bedewell Grange

Updated 29 June 2022

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

One inspector carried out this inspection.

Service and service type

Bedewell Grange 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. [Care home name] is a care home [with/without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with four people and five relatives of people using the service. We spoke with four staff including the registered manager, senior care worker and care staff.

We reviewed a range of records including care records and medication records. We looked at four staff files in relation to recruitment and staff supervision, as well as a variety of records relating to the management of the service were reviewed.

Updated 29 June 2022

About the service

Bedewell Grange is a residential care home providing nursing and personal care to up to 52 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 46 people using the service.

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

People, as well as relatives and staff, gave positive feedback about the care provided at Bedewell Grange. Staff knew how to raise concerns and felt confident to do so.

The provider carried out checks and risk assessments to help maintain a safe environment. Staff followed IPC practices to help prevent the spread of infections. Medicines were managed safely. There were sufficient staff to meet people’s needs and new staff were recruited safely. People confirmed staff responded quickly when they needed help.

Staff supported people to have enough to eat and drink. People were happy with the meals they were offered. People's needs were assessed and the information gathered used to develop care plans. Staff received good support and accessed the training they needed. People were also helped to access healthcare services when required.

The provider had a structured approach to quality assurance. Regular audits and checks were done. These were used to identify relevant action and lessons learnt. People, relatives, staff and professionals were offered opportunities to provide feedback about the care provided at the home.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 27 November 2019).

Why we inspected

The inspection was prompted in part due to concerns received about managing medicines and access to external healthcare services. A decision was made for us to inspect and examine those risks.

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.

Follow up

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