CQC Report: Bethesda Home, November 2023
The Care Quality Commission (CQC) carried out an unannounced comprehensive inspection at Bethesda Home on 12 and 16 October 2023. Overall, the practice was rated as "Good." This is the first inspection for this newly registered service.
To get to the heart of patients’ experiences of care and treatment, the CQC always ask the following 5 questions:
• Is it safe? Rated as Good
• Is it effective? Rated as Good
• Is it caring? Rates as Good
• Is it responsive to people’s needs? Rated as Good
• Is it well-led? Rated as Good
Summary of the findings
Bethesda Home is a residential care home providing personal care to up to 22 people. The service provides support to older people with age related frailties and people living with dementia. At the time of the inspection, there were 12 people using the service. A condition of residency is people are members of the Gospel Standard Churches, or they regularly attend their chapels.
- People told the CQC that they felt safe and happy at the service and were comfortable to speak with staff or management if they had any worries or concerns. Staff received safeguarding training and understood how to prevent and report allegations of abuse. Staff said were confident the registered manager would act on any disclosures.
- People received medicines from trained and competent staff. The service was clean, and staff practised good infection control to help protect people from the risk of infectious diseases. Observations confirmed this.
- People's health risks were assessed and managed safely. Where people required equipment to move and position, staff followed care plans to ensure they were supported safely. Detailed guidance was in place for staff to follow, for example, where people required catheter care.
- People were supported by enough staff who were trained to meet their needs. Staff were consistent and knew people well. People were treated with dignity and respect.
- 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, and where required, their relatives, were involved in planning their care, this included life stories so staff could understand people.
- Care was reviewed regularly and updated when people's needs changed. Staff engaged with visiting health and social care professionals to achieve good outcomes for people. People, their relatives and staff told the CQC they we able to make suggestions and raise concerns if needed.
- People and their relatives were invited to contribute towards the running of the service, their views were listened to. Staff and management kept relatives up to date with changes to their loved ones, relatives told the CQC they could approach the registered manager at any time.
- Quality assurance processes were effective in identifying areas for improvement, shortfalls were addressed at the time or shortly following audits. The provider was in the process of updating audit forms and policies for staff to follow, this was being completed at the time of our inspection, the staggered approach of introducing the documents ensured no disruption to the running of the service.
- Staff and the management team worked with health and social care professionals to improve people's care and well-being. Staff spoke of a good working relationship with external agencies and visiting professionals spoke highly of the service.
The last rating for the service under the previous provider was good, (published 14 September 2017).
