Bede House

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

Date of assessment 22 February to 16 April 2024. This is the first rating for this location. We found 1 breach of the legal regulations in relation to good governance. The provider had an established quality assurance system used across all of its homes. These systems and audits were not always effective in identifying or addressing shortfalls in recruitment records and medicines management. However, we found no evidence to suggest people had been adversely impacted by this. We have asked the provider for an action plan in response to our concerns. Care plans to guide staff about the care people needed were not always person-centred. The provider had appropriate processes to help safeguard people from abuse. The provider investigated and reviewed falls and other incidents. They had recently developed an electronic system to enable managers to gather better information to help identify trends and learn lessons. The home was clean and well-maintained. The provider completed checks and managed risks to maintain a safe environment. Staff supported people to have enough to eat and drink, and to access healthcare. The provider followed the requirements of the MCA, including applying for DoLS authorisations for relevant people. The home had developed partnership arrangements with the local community, such as the church and school.

People's experience of this service

While the people we spoke with expressed they were generally happy with their care, our assessment found medicines administration and recruitment, did not meet the expected standards. Staff were kind and caring and treated people with respect. People told us they felt safe, the home was clean and staff used the correct PPE. People said they were happy with the number of staff but sometimes they were very busy and this impacted their care. People were supported to access the local community. Relatives confirmed activities took place regularly, such as entertainers, baking classes, gardening and barbeques in the summer. Relatives told us they were welcomed and could visit at any time. People and relatives knew how to complain if they had concerns about their family member’s care.