Bentley Manor

Updated 20 February 2024

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 undertaken by 2 inspectors, a nurse specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bentley Manor 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. Bentley Manor 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 23 January 2024 and ended on 12 February 2024. We visited the location’s office/service on 23 and 24 January 2024.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to 7 people and 7 of their relatives about the care provided. We spoke to 13 members of staff including the registered manager, deputy manager, nurses, unit managers, senior carers and care assistants.

We reviewed 6 people’s care and medicines records. We reviewed 3 staff files in relation to recruitment. 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 reviewed a range of records relating to the management of the service including audits, staff training, safeguarding records, management of accidents and incidents and staffing levels.

Updated 20 February 2024

About the service

Bentley Manor is a residential care home providing regulated activities of accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury. The service provides support to older people, people living with dementia, people with mental health needs and people with a physical disability. At the time of our inspection there were 73 people using the service. The service can support up to 80 people. Bentley Manor accommodates people in one adapted building set out over 2 floors.

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

People living at the service told us there were enough staff to meet their needs and this was observed during the inspection. However, we received mixed feedback from staff on the staffing levels in one area of the service. The registered manager reviewed the staffing levels in this area during the inspection and deployed an additional staff member permanently.

Medicines were managed safely and risks relating to people and the environment were assessed and monitored. The service appeared clean and infection prevention and control measures were in place to keep people safe. Staff understood the importance of safeguarding, and people told us they thought the service was safe.

People’s needs and choices were assessed and recorded clearly in their care plans. People received care and support inline with their changing needs and were able to exercise choice in their daily lives. People’s consumption of food and fluids were recorded where appropriate, and people spoke positively of the food offered. Staff completed a range of mandatory training and training specific to the needs of the people they supported. Staff supported people alongside external health professionals to ensure their needs were met.

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 their relatives praised the staff approach to providing care and support. Staff felt valued and listened to by the management team and were confident in raising concerns should they need to. Auditing and quality monitoring was effective and there were a range of meetings taking place which evidenced the involvement of staff, people and their relatives. The provider evidenced good partnership working and continuous learning and improving care.

Rating at last inspection

The last rating for this service was good (published 10 September 2018).

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

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of accidents and incidents. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Bentley Manor on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.