• Care Home
  • Care home

Bethany House Care Home

Overall: Requires improvement read more about inspection ratings

30 Eastbridge Road, Dymchurch, Romney Marsh, TN29 0PG (01303) 875199

Provided and run by:
Bethany Lodge Kent Limited

Latest inspection summary

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Background to this inspection

Updated 27 April 2021

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 was undertaken by two inspectors.

Service and service type

Bethany House 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 did not have a manager registered with the Care Quality Commission. This means that the provider is 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 received about the service since the last inspection. This included feedback from staff and relatives of people who live in the service. We sought feedback from professionals who work with the service. The local authority had shared their concerns about the service. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with seven members of staff including the manager, senior support worker and support workers.

We reviewed a range of records. This included three peoples’ care plans and risk assessments and multiple medicines records. We looked at two staff files in relation to recruitment and staff supervision and training records. A variety of records relating to the management of the service, including handover records, staff meeting notes and policies and procedures were reviewed.

Some people were not able to verbally express their experiences of living at the service. We observed staff interactions with people and observed care and support in communal areas.

After the inspection

We continued to seek clarification from the provider to validate the evidence found. We looked at training data, quality assurance records and other policies and procedures.

Overall inspection

Requires improvement

Updated 27 April 2021

About the service

Bethany House is a registered care home with nursing, providing accommodation for up to 15 people living with complex health needs and physical disabilities. At the time of the inspection the service was full. The accommodation is arranged over two floors with large communal areas. The service has a hydrotherapy pool which has been out of use due to COVID-19. Plans are in place to re-open this in the future.

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

People told us they were happy living at Bethany House and felt safe there. However, some relatives had concerns about the safety of the people living in the service as they felt they were being supported by people who did not know their loved ones well enough. The manager was working towards more detailed guidance for staff to ensure they had the knowledge required to manage risk and meet peoples’ needs.

There were inconsistencies in the level of detail about peoples’ medicines which meant we were not assured that medicines were always managed in a safe way. The manager had made some improvement in these areas recently, but more improvement was needed.

There was not always enough staff with the right experience, skills and knowledge to meet peoples’ needs in the right way. Some staff and relatives shared this concern. The manager had recently increased the number of staff on each shift to address this concern and was actively recruiting for the service. Staff had been recruited safely to ensure they were suitable to work with people.

The service did not have a registered manager. The previous registered manager left in December 2020. The operations manager was providing interim leadership, either in the service or remotely, and the service was being supported by the operations director. Staff were positive about the manager and found them to be open, honest and approachable. The provider had quality assurance systems in place and there was a commitment to continual improvement.

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 good (published 30 January 2020). Following this inspection, the rating has deteriorated to requires improvement.

Why we inspected

We received concerns in relation to staffing levels and skills, the management of medicines and people’s nursing care needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led.

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.

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.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. You can see what action we have asked the provider to take at the end of this report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bethany House on our website at www.cqc.org.uk.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.