Bedhampton Nursing Home and Specialist Care Unit

Updated 20 May 2023

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

The inspection was carried out by 2 inspectors.

Service and service type

Bedhampton Nursing Home and Specialist Unit 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. Bedhampton Nursing Home and Specialist Unit is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The service had a regional home manager who was managing the service and they were in the process of recruiting a registered manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we held about the home and contacted 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.

During the inspection

We spoke with 9 people and 2 relatives about their experience of the care provided.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We received feedback from 11 members of staff including the nominated individual. The nominated individual is responsible for supervising the management of the home on behalf of the provider. We received written responses from 3 health and social care professionals.

We reviewed a range of records. This included 3 people's care and support records and 4 people's medicine administration records. We looked at 2 staff files in relation to recruitment and training. We also reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records, safeguarding records and quality assurance reports.

Updated 20 May 2023

About the service

Bedhampton Nursing Home and Specialist Care Unit was providing personal and nursing care to 35 people at the time of the inspection. The home can support up to 49 people. The home is purpose built across two floors which can be accessed by stairs or lift to support older people and younger people who may have a sensory impairment or physical disability.

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

Risk’s to people’s health, safety and well-being had not always been assessed or where they had, the risks had not always been managed safely and this had placed people at risk of harm. Short term care plans for wounds did not always include detailed information to guide staff on how to provide care and support and this had placed people at risk of not having their needs met.

The home had a medicines policy and safeguarding policy in place, but these had not always been followed.

The provider's monitoring processes were not always effective in helping to ensure people consistently received good quality care and support. This had led to shortfalls found during the inspection.

Staff did not always feel supported, and supervisions did not take place as planned. A staff member told us, “Things could be improved if we had a registered manager, but I believe we are looking after residents well.”

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.

People told us staff were kind to them, staff spoke knowledgably about how people preferred their care and support to be given. The building was designed to enable people to access care and support in a clean and well-equipped environment that met their physical needs. People and their relatives were able to personalise their bedrooms.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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

Rating at last inspection

This service was registered with us on 14 July 2021 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 6 August 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment and governance of the service.

We have made a recommendation about safeguarding within the home, a recommendation about activities and a recommendation about the home's complaints process. The provider was responsive to address the shortfalls found within this inspection and took immediate action.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.