Bebington Care Home

Bebington Care Home is a residential care home providing personal and nursing care to up to 87 people. The service provides support to people in need of nursing support, respite care, end of life care and general assistance with everyday living for people with dementia. At the time of inspection there were 57 people living at the home.

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

Medicines were not managed safely and records used to monitor people’s care was not always completed fully. Risks in relation to people's care had not been properly assessed. The systems in place to monitor the quality and safety of the service were not always used effectively to identify and mitigate risks.

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.

Feedback we received from staff, people and relatives was positive in regard to the new manager and provider. We observed staff supporting people in a caring, responsive and patient manner. We saw that people were comfortable in the presence of staff and positive relationships had developed between them.

Staff were recruited safely and received regular training, supervisions and attended staff meetings and there were enough staff on duty on the day of inspection to meet people's needs.

Equipment had been serviced and maintained and accidents and incidents were recorded and reviewed to help minimise the risk of reoccurrence. The environment was clean and welcoming, and it was undergoing a significant refurbishment.

Complaints, accidents and incidents were managed appropriately, and referrals were made to other professionals in a timely way for people when required. People were provided with opportunities to engage in a variety of activities to meet their needs. People’s dietary needs were catered for.

Rating at last inspection

The last rating for the service under the previous provider was requires improvement, published on 16 December 2020.

Why we inspected

The inspection was prompted in part due to concerns received about medicines and governance of the service. A decision was made for us to inspect and examine those risks.

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.

You can see what action we have asked the provider to take at the end of this full report.

The provider took immediate action to mitigate risks to people.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to medicines management, risk management and governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.