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We are carrying out a review of quality at Bedford Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 14 September 2021

Bedford Care Home provides personal and nursing care for up to 180 people. The home is divided into six different units, each with 30 beds. Astley and Lilford units are predominately for people who require personal care and support, Croft and Kenyon for people with mainly physical nursing needs and Pennington and Beech for people with dementia care nursing needs. The home also has designated beds on two of the units for intermediate care. At the time of the inspection only five units were in use, Kenyon unit was closed and had been repurposed to support safe visiting during the pandemic. On the first day of inspection there were 119 people living at Bedford Care Home.

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

People told us they felt safe living at Bedford Care Home. Enough staff were deployed to meet people’s needs, albeit people commented on staff being very busy and not having much time to chat with them. Staff knew how to identify and report any safeguarding concerns. Accidents and incidents had been logged consistently on the provider’s electronic system, with analysis completed to look for patterns and trends to help prevent a reoccurrence. Medicines were being managed safely, by staff who had been trained and their competency assessed. The home was clean with effective infection control processes in place.

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. Staff received sufficient training and support to complete their roles. People’s healthcare needs were being met. Timely referrals to the necessary professionals had been made when any issues or concerns had been noted. People told us they had enough to eat and drink each day, although comments on the quality of the food provided varied. People’s food and fluid intake was documented, as was the provision of personal and oral care, however, this process required strengthening. Some consideration had been made to ensure the environment was suitable for people who lived at the home.

We have made a recommendation about the completion of research into personalisation and dementia friendly décor.

Care files provided information about people’s needs and how they wished to be cared for. The provider had switched to an electronic care planning system and was in the process of finalising the transfer of information from the previous paper based files. People provided mixed views about the social and recreational activities available within the home, which had been affected by the loss of two activity co-ordinators and the COVID-19 pandemic. A weekly schedule was in place, with each unit having one planned activity per day throughout the week. Recruitment for additional activity staff was ongoing, to enable the frequency of activities to increase across the home. People said they knew how to complain but had not needed to.

The home used a range of systems and processes to monitor the quality and effectiveness of the service provided. Actions had been identified and added to the home’s improvement plan, which was regularly reviewed, both by the registered manager and at provider level. People and staff’s views were sought through regular meetings and questionnaires.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 18 April 2020) 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 carried out an unannounced comprehensive inspection of this service on 11 March 2020. Breaches of legal requirem

Inspection areas

Safe

Good

Updated 14 September 2021

The service was safe.

Details are in our safe findings below

Effective

Requires improvement

Updated 14 September 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 14 September 2021

Responsive

Good

Updated 14 September 2021

The service was responsive.

Details are in our responsive findings below

Well-led

Good

Updated 14 September 2021

The service was well-led.

Details are in our well-led findings below