CQC report explained · a nursing home
What the CQC found at Bentley House Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, medicines were managed safely, staffing was sufficient, and safeguarding concerns were investigated. Infection control was generally good, although some communal areas needed redecoration.
- Effective?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused inspection. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective checks on care records, risks and service quality. People, relatives and staff described open communication, good teamwork and a culture where suggestions and concerns were listened to.
What inspectors found, January 2024
Rated Good; inspectors found safe, caring and well-managed care, with some communal areas needing redecoration.
This was an unannounced, focused inspection on 7 December 2023. Inspectors reviewed information about the home, spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed and reviewed, medicines were managed safely, staffing levels met people's needs, and staff were safely recruited and trained.
People and relatives described kind, respectful care and good communication. The inspection did not assess Effective, Caring or Responsive. Those ratings were carried over from the previous inspection in 2018 when the overall rating was also Good.
Risk management
Risks were assessed and care plans were updated when people's needs changed. Staff understood how to support people with risks such as falls, mobility, eating and diabetes.
“Risk management plans were regularly reviewed to ensure they reflected any changes in people's needs.” from the report
Safe medicines
Medicines were ordered, stored, given and disposed of safely. Staff received training and checks of their competence.
“People were supported to receive their medicines safely.” from the report
Staffing and recruitment
Inspectors found enough suitable staff to meet people's needs. Recruitment checks, induction and training helped staff provide safe care.
“The provider ensured there were sufficient numbers of suitable staff to meet people's needs.” from the report
Open leadership
The home had systems to check quality and act on findings. Relatives and staff said they could raise concerns and make suggestions.
“There were effective systems in place to monitor and improve the quality of the service.” from the report
Choice and involvement
Staff offered people choices about daily care and listened to their responses. Relatives said they were involved and kept informed.
“Staff offered people choices and listened to their responses without rushing them.” from the report
Communal areas need redecoration
minorSome communal areas needed redecoration so they could be cleaned effectively. The provider said this was being dealt with through an ongoing maintenance programme.
“However, some communal areas of the home required redecoration to ensure they could be cleaned effectively.” from the report
No registered manager at the visit
minorThere was no registered manager in post when inspectors visited. A new manager had been appointed and was applying to become registered.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01What progress has been made with redecorating the communal areas?
- 02Has the new manager's application to become registered been completed and accepted?
- 03What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be reviewed?
- 04How are families involved in reviewing changes to their relative's risks and care?
- 05How do you check that staffing remains sufficient when the home is busy?
This was a focused inspection of Safe and Well-led only; the Effective, Caring and Responsive ratings were carried over from the previous inspection. This explanation was written from the published report of 3 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2018
Bentley House Care Centre was rated Good; inspectors found safe, kind and responsive care, with improvements in medicines management sustained.
Inspectors visited without notice on 19 April 2018. They spoke with people living at the home, relatives, staff and health professionals. They reviewed care files, medicine records, staffing and recruitment records, and the home’s quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff during the visit, safe medicines administration, suitable staff training, respectful care and activities to support people’s interests.
The home had been rated Requires Improvement for Safe at the previous inspection because medicines improvements needed to become consistent. At this inspection, inspectors found those improvements had been sustained. A new registered manager had been in post for about three months, and the report describes changes to staffing, communication and management.
Medicines improved
Inspectors found that medicines were being given as prescribed. This was an improvement from the previous inspection, when Safe was rated Requires Improvement because medicines systems needed to be sustained.
“The MARs we checked confirmed people received their medicines as prescribed.” from the report
Respectful care
Staff treated people with dignity, respected privacy and encouraged them to remain as independent as possible.
“Staff promoted people's independence and encouraged them to do things for themselves where possible.” from the report
Activities and relationships
People were offered group activities, individual conversations and special events. Staff also helped people maintain relationships with friends and family.
“The activities coordinator confirmed group activities took place every day, and people also had one to one conversations in their rooms with staff to offer them mental stimulation.” from the report
Quality checks
The provider and manager used audits and action plans to identify and address improvements in areas such as care records, medicines, infection control and the building.
“The provider and registered manager completed regular checks on the quality of the service they provided.” from the report
Occasional waits for help
needs fixingThe report says some people sometimes waited for staff to be available for personal care. People also described longer waits for call bells in the past, although staffing and response times had improved.
“The registered manager and staff told us sometimes people waited for staff to be available to support them with their personal care however, they were confident people were always supported safely.” from the report
Medicines systems still under review
minorAlthough medicines were safe at this inspection, the manager was still working with a pharmacy after recent medicines management issues. Ask how these changes have worked in practice since the inspection.
“This review of procedures had been instigated by some recent issues around medicine management, to sustain the improvements already in place, and to embed new systems to benefit people who lived there.” from the report
Family meeting attendance
minorThe manager had arranged a meeting for residents and relatives, but nobody attended. The home planned to improve how future meetings were advertised and continue gathering feedback in other ways.
“The registered manager had organised a meeting for 'residents' and relatives at Bentley House since they started work there, however, they told us no-one had attended the meeting.” from the report
- 01What changes have been made to medicines ordering and prescriptions since the recent medicines management issues?
- 02How many staff are scheduled at the busiest times, and how do you check that people do not wait too long for personal care or call bells?
- 03What activities are available for people who cannot join group activities or prefer to stay in their bedrooms?
- 04How do you involve relatives and residents in decisions if meetings are not well attended?
- 05How are Deprivation of Liberty Safeguards applications that were awaiting a decision followed up?
This was an unannounced inspection of the overall service, including the premises and care provided, and all five CQC rating areas. This explanation was written from the published report of 23 May 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Bentley House Care Centre
5 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Goodstayed GoodSafe: GoodWell-led: Good
- May 2017Goodup from Requires improvementSafe: Requires improvementWell-led: Good
- February 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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