CQC report explained · a residential care home
What the CQC found at Bethia Cottage
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, timely medicines and good infection control.
- Effective?
- Good
- People's needs were thoroughly assessed and staff had relevant training. People received support with eating, drinking, healthcare and communication.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. They supported people to make choices and remain as independent as possible.
- Responsive?
- Good
- Care plans were personalised and included people's goals, skills, likes and dislikes. Staff supported meaningful activities, communication and relationships.
- Well-led?
- Good
- The home had a calm atmosphere and visible management. Quality checks, staff and resident meetings, and links with local organisations supported the running of the service.
What inspectors found, March 2020
Rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.
This was a planned inspection on 20 February 2020. Two inspectors spoke with three people who used the service and five staff. They reviewed care records, medicine records, staff recruitment and supervision files, and management records.
The inspectors found that people were safe, received their medicines correctly and had enough staff supporting them. Staff understood people's needs, supported health and nutrition, and helped people take part in activities and maintain relationships.
The home was described as warm, calm and welcoming. Staff treated people with kindness, dignity and respect. Care plans reflected people's preferences, goals and communication needs.
The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. The previous inspection was also rated Good, published on 4 September 2017.
Personalised support
Care plans included people's goals, skills, likes and dislikes. Staff used this information to provide care in the person's preferred way.
“Care plans were personalised and included information about people's goals, skills, likes and dislikes.” from the report
Kind and respectful care
People appeared comfortable, relaxed and happy. Staff supported privacy, dignity, choice and independence.
“People appeared comfortable, relaxed, and happy in the home. We saw kind and meaningful interactions between staff and people.” from the report
Activities and relationships
People were supported to take part in activities they enjoyed and to maintain relationships with family and the community.
“People go out nearly every day and family visit people regularly.” from the report
Strong understanding of people's needs
Staff understood people's individual needs, including dietary, communication and health needs. The home was adapted to suit people's preferences.
“Staff communicated with people in a way they could understand. This included the use of body language and signing.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff when people's needs or routines change?
- 02How do you check that medicines continue to be given on time and as prescribed?
- 03How will you adapt my relative's care plan to reflect their goals, likes, dislikes and communication needs?
- 04What activities and community opportunities would be available for my relative?
- 05How would you support my relative with eating, drinking, oral health and access to healthcare?
This was a planned inspection covering all five CQC questions and the overall quality of the care home. This explanation was written from the published report of 28 March 2020 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, September 2017
Bethia Cottage was rated Good; inspectors found kind, personalised care, with occasional staffing shortfalls and some family communication concerns.
Inspectors visited the home on 19 and 26 July 2017. The inspection was announced and comprehensive. They reviewed records, observed care, spoke with staff and relatives, and received feedback from health professionals.
The home supported five people with learning disabilities or autistic spectrum disorder. Inspectors found detailed care plans, trained staff, safe medicines systems and enough staff to meet people's needs. Staff were kind, patient and respectful, and supported people to make choices.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The home had also been rated Good at the previous inspection in April 2015, so the overall rating remained unchanged.
Kind and respectful staff
Inspectors saw staff treating people with kindness, patience and respect. People appeared happy and comfortable, and staff encouraged independence.
“Our observations of people who lived at the home indicated they were happy and comfortable in the presence of staff.” from the report
Safe medicines practice
Medicines were stored safely, given on time, recorded correctly and checked regularly. Staff had training in medicines administration.
“We saw that medicines were stored safely, obtained in a timely way so that the person did not run out of them, administered on time, recorded correctly and disposed of appropriately.” from the report
Good oversight
The manager used audits, surveys and action plans to monitor the service and respond to identified improvements.
“The manager carried out quality audits to monitor that systems at the home were working effectively and that people received appropriate care.” from the report
Occasional lower staffing
minorStaffing levels sometimes fell below the usual numbers. Staff said some tasks were not completed on those occasions, although people still received the care and support they needed.
“Rotas evidenced that these staffing levels were usually maintained, although there were occasions when they fell below the usual levels.” from the report
Family communication
minorOne relative said communication with staff could be better. Families should ask how they will be kept informed about changes in their relative's health and wellbeing.
“One relative said they felt communication between themselves and staff could improve” from the report
Pending authorisations
minorApplications for Deprivation of Liberty Safeguards had been submitted but were still awaiting authorisation when inspectors visited. Families should ask whether these have since been completed.
“The manager told us they had made enquiries about these applications but they were still waiting for them to be authorised.” from the report
- 01How often have staffing levels fallen below the usual numbers since this inspection, and what tasks or activities were affected?
- 02How will you keep relatives informed about changes in a person's health, seizures or day-to-day wellbeing?
- 03Have all outstanding Deprivation of Liberty Safeguards applications now been authorised?
- 04What activities are available for a person with my relative's interests and abilities?
- 05How often are relatives' meetings held, and how can families give feedback between meetings?
This was an announced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 5 September 2017 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 Bethia Cottage
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 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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16 live-in carers within about an hour of East Riding of Yorkshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.