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Care Services

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Bethany Homestead, Northampton.

Bethany Homestead in Northampton is a Homecare agencies and Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, personal care, physical disabilities and sensory impairments. The last inspection date here was 3rd April 2020

Bethany Homestead is managed by Bethany Homestead.

Contact Details:

    Address:
      Bethany Homestead
      Kingsley Road
      Northampton
      NN2 7BP
      United Kingdom
    Telephone:
      01604713171

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Requires Improvement
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2020-04-03
    Last Published 2018-12-14

Local Authority:

    Northamptonshire

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

5th November 2018 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out an unannounced comprehensive inspection of this service in May 2018. After that inspection we received concerns in relation to staffing levels, the safe moving and handling of people, lack of training for new staff and people receiving injuries from incorrect moving and handling manoeuvres. As a result, we undertook a focused inspection to look into those concerns. This report only covers our findings in relation to those topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bethany Homestead on our website at www.cqc.org.uk

This responsive focussed inspection took place on 5 November 2018 and was unannounced. This inspection focussed on the safe and well led domains to establish whether people were receiving safe care. No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them.

This was the third inspection carried out at Bethany Homestead since December 2016.

Bethany Homestead is registered to provide the regulated activities of accommodation for persons who require nursing or personal care and also personal care to people living in accommodation within the grounds of Bethany Homestead. This focussed inspection only looked at the regulated activity of accommodation for persons who require nursing or personal care.

At our last comprehensive inspection in May 2018 we rated the service as Requires Improvement in safe, caring and well led domains. The provider was in breach of one regulation relating to sufficient numbers of staff deployed to meet the needs of people using the service. The provider was required to submit action plans demonstrating how they were to achieve compliance with the regulations. At this inspection we were satisfied improvements had been made and sufficient numbers of staff were deployed to safely meet people’s needs.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People were at risk of not receiving safe care because not all staff followed safe moving and handling procedures when supporting people to change position.

The provider did not follow best practice infection control prevention procedures. This placed people at risk of cross infection.

Policies and procedures were in place to safeguard people from harm and abuse and staff were aware of them. However, not all staff understood the care practices they were undertaking put people at risk of harm.

The systems in place to asses, monitor and improve the quality and safety of the services provided were not always effective.

Risk management plans were in place to safeguard people's personal safety and manage known environmental risks.

People were supported to take their medicines as prescribed. Medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

The provider and registered manager had made some changes within the service which had a positive impact on the moral of staff working at the service.

Events such as safeguarding matters, accidents and incidents had been reported to the Care Quality Commission (CQC) and other relevant agencies as required.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

20th May 2018 - During a routine inspection pdf icon

This inspection took place on 20 and 21 May 2018 and was unannounced.

Bethany Homestead is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Bethany Homestead also provides the regulated activity of personal care to people living in their own homes within the grounds of Bethany Homestead.

Bethany Homestead is registered to accommodate up to 38 people. At the time of our inspection 38 people were living at the home. The service supports older people and people living with dementia. Bethany Homestead was also supporting three people with personal care needs who were living in their own homes within the grounds of the home.

Both regulated activities were looked at during this inspection; however, the focus throughout the report is on the care home.

At the last inspection in December 2016 this service was rated good. At this inspection the service is rated as requires improvement. This is the first time the service has been rated requires improvement.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

There was not always sufficient staff deployed in the home to meet the needs of people.

The systems in place to ensure there were always enough staff deployed to meet the needs of people who used the service had an impact on people’s dignity. The registered manager and provider lacked oversight of the day to day culture in the home and failed to address issues relating to the management of staff attitude, behaviours and code of conduct.

Staff followed the procedures for safeguarding people from the risks of harm or abuse. Risk management plans were in place to safeguard people's personal safety and manage known environmental risks.

People were supported to take their medicines as prescribed. Medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

People were supported to have sufficient amounts to eat and drink to maintain a balanced diet.

Staff had comprehensive induction training and on-going refresher training that was based on following current best practice.

Care plans contained information about peoples assessed needs and their preferences and people and their relatives were asked for feedback on improving the service.

All staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) and Deprivation of Liberty Safeguards (DoLS) and had applied that knowledge appropriately.

Staff understood the importance of obtaining people’s consent when supporting them with their daily living needs.

The service had a complaints procedure in place. This ensured people and their families were able to provide feedback about their care and to help the service make improvements where required. The people we spoke with knew how to use it.

Events such as safeguarding matters, accidents and incidents had been reported to the Care Quality Commission (CQC) and other relevant agencies as required.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

12th December 2016 - During a routine inspection pdf icon

This unannounced inspection took place on the 12 December 2016. Bethany Homestead provides accommodation for up to 38 people who require residential care for a range of personal care needs. There is also a complex of bungalows within the grounds where some people receive personal care and support to enable them to retain their independence and continue living in their own home. There were 36 people in residence and 3 people receiving care in their own homes during this inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social care Act 2008 and associated regulations about how the service is run.

People were safeguarded from harm as the provider had systems in place to prevent, recognise and report concerns to the relevant authorities. The registered manager and senior knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005) and Deprivation of Liberty Safeguards (DoLS) and had applied that knowledge appropriately.

There were sufficient numbers of experienced staff that were supported to carry out their roles to meet the assessed needs of people living at the home. Staff received training in areas that enabled them to understand and meet the care needs of each person. Recruitment procedures protected people from receiving unsafe care from care staff unsuited to the role.

People’s care and support needs were continually monitored and reviewed to ensure that care was provided in the way that they needed. People had been involved in planning and reviewing their care when they wanted to.

People were supported to have sufficient to eat and drink to maintain a balanced diet. Staff monitored people’s health and well-being and ensured people had access to healthcare professionals when required.

Staff understood the importance of obtaining people’s consent when supporting them with their daily living needs. People experienced caring relationships with staff, who provided good interaction by taking the time to listen and understand what people needed.

People’s needs were met in line with their individual care plans and assessed needs. Staff took time to get to know people and ensured that people’s care was tailored to their individual needs.

People had the information they needed to make a complaint and the service had processes in place to respond to any complaints.

People were supported by a team of staff that had the managerial guidance and support they needed to carry out their roles. The quality of the service was monitored by the audits regularly carried out by the manager and by the provider.

 

 

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