Bentley House

Bentley House is a residential care home providing personal and nursing care to people aged 65 and over, some of who were living with dementia at the time of the inspection. The service can support up to 90 people. There were 60 people living at the home at the time of our inspection but only 48 were in receipt of accommodation and personal care.

Bentley House accommodates people across six floors in one purpose-built building. Each floor of the building has separate adapted facilities that accommodate people who require nursing, dementia and residential care.

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

Staff told us there were not enough staff deployed in the home to support people. People's risk assessments were not always accurately completed. Incidents that suggested people may have been at risk of harm were investigated but safeguarding concerns were not reported as required. Prior to this inspection people had not received their medicine as the prescriber intended.

Further improvements were required to governance systems to ensure the concerns found during the inspection were identified as part of the home's own auditing systems. Staff told us they did not all feel valued by or engaged with the management of the service.

People felt safe living in Bentley House. Risk to people's health and welfare were identified and staff knew how to support these needs safely. People said there were sufficient staff and were happy living in the home.

Infection control procedures were followed and assured safe practices were followed with regards to social distancing and the use of PPE.

Staff told us there was enough training available to support them in their roles, with supervision sessions also held to discuss their work. People told us they received appropriate support to maintain good nutrition and hydration and the home had good links with other health care professionals.

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 received person centred care. People were supported kind and caring staff who they trusted. Staff promoted people's independence and respected their rights, privacy and dignity. Staff knew people well and respected their choices and culture.

People and their relatives were actively involved in the development of their support plans. These were personalised and reflective of how people wished to receive their care. People were supported to pursue hobbies and interests and supported to avoid social isolation.

People's views about the service were sought individually and through meetings and surveys. People and relatives told us the registered manager and provider were approachable and they were confident concerns would be addressed.

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

Rating at last inspection

The last rating for this service was good [published 12/10/2017].

Why we inspected

This was a planned inspection based on the previous rating. 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.

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.