We carried out this inspection as part of our routine inspection programme to answer our five questions. Is the service safe, is it effective, is it caring, is it responsive and is it well led? The inspection was carried out by two inspectors. At the time of our inspection there were 41 people using the service. We spoke with seven of them in order to understand the service from their point of view. We also spoke with four visitors. We observed the care and support people received in the shared areas of the home. We looked at records and files. We spoke with the joint registered managers and four members of staff.This is a summary of what people told us and what we found.
Is the service safe?
People told us they felt safe and comfortable in the home. They said care and treatment were given with their consent, and staff took appropriate care to support them in a safe manner. We found risk assessments and support plans were in place to maintain people's safety and welfare.
People were protected against risks associated with medicines because the service had appropriate procedures in place to handle and store medicines safely.
There were enough qualified and skilled staff to support people safely.
CQC monitors the operation of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) which apply to care homes. The managers at Bedhampton Nursing Home understood the Mental Capacity Act 2005, DoLS and their responsibilities. Where people lacked capacity they were protected because the provider followed the appropriate guidance and code of practice. There were no DoLS in effect at the time of our inspection.
Is the service effective?
People told us that they were satisfied with the care and treatment they received. One person said, 'They look after you very well. I am very lucky.'
We found people's care and treatment were based on thorough assessments and detailed and personalised support plans. Systems were in place to ensure care and treatment were delivered according to people's plans. The provider cooperated with other services and providers to deliver effective care and treatment.
Is the service caring?
People using the service told us they got on well with staff and had a good relationship with them.
Staff we spoke with were motivated to provide good care. They knew about people's needs and how they preferred to have their care delivered.
We observed positive, friendly interactions between staff and people who used the service.
Is the service responsive?
People's care plans were individualised and person-centred. People received care and support that met their needs.
We found the service had systems in place to ensure the care provided was appropriate to peoples' changing needs. If routine checks and assessments identified a possible concern, the service responded appropriately. People were supported by other healthcare providers as appropriate.
The provider did not have an effective system for identifying and handling complaints and comments. We have asked the provider to tell us how they will make improvements and meet the requirements of the law in relation to complaints.
Is the service well-led?
Staff told us the managers were open to suggestions and ideas about people's care. They said they were confident if they raised concerns with the manager or senior staff, they would be dealt with properly.
Systems were in place to regularly assess and monitor the quality of service provided. Risks were assessed and appropriate action plans were in place. There were processes in place to review and learn from incidents and accidents.