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Archived: Bentley Court Care Home Requires improvement

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 7 July 2021

About the service

Bentley Court is a nursing home providing personal care to 37 people at the time of the inspection, some of whom were living with dementia. The service can support up to 76 people in a purpose-built building although at the time of the inspection the provider was limiting occupancy to 41 people.

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

People could not be assured that the provider quality assurance systems would identify all areas of improvements required at the home.

People were assured the environment would be safe as the provider maintained the building and carried out remedial work in a timely manner. Equipment was serviced within the manufacturer’s timescales.

People could be assured by the systems in place to assess and manage their safety.

People could be assured that if they were involved in an accident or incident, the provider would take step to learn from them and take action to prevent a re-occurrence.

People's care plans were reflective of their current needs.

People were supported by enough staff who supported them in a timely manner and staff members received training on how to keep people safe from the risk of abuse.

People's medicines were managed effectively.

We found there was a positive culture shared between staff to promote good outcomes for people.

Managers and staff were open and honest. People, their relatives and staff had the opportunity to make changes to the service.

Staff worked in partnership with other healthcare professionals.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was requires improvement (published 8 November 2019).

Why we inspected

The inspection of [insert location name] commenced on [insert date] and was unannounced.

The inspection was prompted in part by notification of an incident following which a person using the service developed serious health conditions. This incident is subject to a criminal investigation and as a result this inspection did not examine the circumstances of the incident.

However, the information shared with CQC about the incident indicated potential concerns about the management of health conditions, fluid intake and the environment. This inspection examined those risks.

We found no evidence during this inspection people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

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 remained the same.

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 coronavirus and other infection outbreaks effectively.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 7 July 2021

The service was safe.

Full details are in the safe section below.


Requires improvement

Updated 12 March 2019

The service was not always effective

People did not always have a choice of meals and the meal time experience was not always conducive to supporting people to eat their meals. People were given inconsistent support with their dietary and fluid intake.

There was scope to improve the physical environment for people living with dementia.

People�s right to consent was sought by staff and any restrictions on their liberty were agreed with the local authority.

People were supported by staff that were trained, with the provider supporting staff to gain further training.

People accessed community healthcare as needed to promote their health.


Requires improvement

Updated 12 March 2019

The service was not always caring

People were not always supported in a way that ensured they were treated with dignity and respect.

People were not consistently supported to express their views and make choices regarding their daily living, and we saw care was on occasions task not person focussed.

People's independence was promoted.

People were supported to maintain friendships and contact with families.


Requires improvement

Updated 12 March 2019

The service was not always responsive

People had mixed views about their involvement in planning their care and we saw some people�s records did not consistently reflect their current needs, wishes and preferences.

People�s needs likes, dislikes and personal preferences were known to staff, although there were concerns, from staff, they did not always know people well enough.

People had access to leisure opportunities if chosen although there was concerns that there were not always sufficient staff to ensure more dependent people had access.

People could raise complaints and these were responded to by the provider.


Requires improvement

Updated 7 July 2021

The service was not always well led.

Full details are in the well led section below.