Berehill House Care Home

Updated 18 October 2019

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 Care Act 2014.

Inspection team

The inspection team comprised an inspector and an assistant inspector.

Service and service type

Berehill House Care Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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 used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and five relatives about their experience of the care provided. We spoke with the registered manager, the service development manager, and four members of staff. We observed the care people received in the shared areas of the home.

We reviewed a range of records. This included people’s online care records and medicines records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We reviewed the evidence we gathered during the inspection to rate the service according to our published characteristics of ratings.

Updated 18 October 2019

About the service

Berehill House Care Home is a residential care home providing personal care to 34 people at the time of the inspection. The service can support up to 35 people in a single adapted building.

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

People received care and support that was safe. The provider took steps to protect people from risks, including the risk of abuse or avoidable harm, and risks associated with the building and equipment used. There were effective recruitment processes in place to make sure staff employed and agency staff were suitable to work in the care sector. The provider actively promoted safety around medicines and infection control.

People received care and support that was effective and based on thorough, detailed assessments and care plans. Staff were trained and supported to deliver effective care according to people’s needs and preferences. The provider worked with other agencies to deliver consistent and effective care. 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.

There were caring and kind relationships between people and their care workers and other staff. The provider worked to respect and promote people’s privacy, dignity and independence, and encouraged people to be involved in their care.

People received care and support which met their needs and reflected their preferences. The provider complied with best practice guidance with respect to meeting people’s communication needs. People had access to a wide range of relevant and meaningful activities.

The service was well led. There was focus on meeting people’s individual needs in a home-like environment. The provider worked in cooperation with others and worked to continuously improve the service people received. This was supported by effective management, governance and quality systems.

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 good (published 25 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.