Bedhampton Nursing Home and Specialist Care Unit

Bedhampton Nursing Home and Specialist Care Unit was providing personal and nursing care to 35 people at the time of the inspection. The home can support up to 49 people. The home is purpose built across two floors which can be accessed by stairs or lift to support older people and younger people who may have a sensory impairment or physical disability.

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

Risk’s to people’s health, safety and well-being had not always been assessed or where they had, the risks had not always been managed safely and this had placed people at risk of harm. Short term care plans for wounds did not always include detailed information to guide staff on how to provide care and support and this had placed people at risk of not having their needs met.

The home had a medicines policy and safeguarding policy in place, but these had not always been followed.

The provider's monitoring processes were not always effective in helping to ensure people consistently received good quality care and support. This had led to shortfalls found during the inspection.

Staff did not always feel supported, and supervisions did not take place as planned. A staff member told us, “Things could be improved if we had a registered manager, but I believe we are looking after residents well.”

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 told us staff were kind to them, staff spoke knowledgably about how people preferred their care and support to be given. The building was designed to enable people to access care and support in a clean and well-equipped environment that met their physical needs. People and their relatives were able to personalise their bedrooms.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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

Rating at last inspection

This service was registered with us on 14 July 2021 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 6 August 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment and governance of the service.

We have made a recommendation about safeguarding within the home, a recommendation about activities and a recommendation about the home's complaints process. The provider was responsive to address the shortfalls found within this inspection and took immediate action.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.