Bethany House Limited

People's experience of using this service: At the last inspection we found the service did not always meet people's needs because care plans were not up to date. We also found the way the home monitored the quality of the service was not effective at identifying and sorting out any shortfalls. We made two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection we found these breaches and shortfalls had been put right and many other improvements had been made to the quality of the service and running of the home.

There was a new manager in post, who along with the provider's operations manager, had brought about clear leadership and an improved system to ensure people received good quality care. People who lived in the home, their relatives and professionals were impressed with the new manager and spoke of her being very approachable with an open management style.

Everyone we spoke with told us this was a good home and said people were well cared for. People's needs were now being well met through up to date care plans, care being offered by a well-trained and supported staff team and by sufficient numbers of staff on duty to respond to their needs.

Staff knew how to keep people safe and this included having a good knowledge of safeguarding people from abuse. Risks to people were now well managed, with a particular focus on reducing people's risk of falls and managing behaviours that maybe challenging to the service.

Care was person-centred, based around each individual's personal care and health needs and to also meet their social needs and interests. Care planning had improved with particular attention paid to including instructions from healthcare professionals.

People rights were respected and protected because the service had a good understanding of the Mental Capacity Act. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with dignity and compassion. They told us the staff team knew them well, took a genuine interest and were kind and caring. People looked well-groomed and well cared for.

There was a good choice of meals and people said the food was very good and they liked that it was 'home cooked'. Support was provided which ensured people received food and drink when they needed this.

Good working relationships had been developed with health and social care professionals that meant people were supported to stay well and any health issues were quickly addressed.

People's medicines were being better managed with a focus on staff training and competency.

The service was well-maintained, comfortable, clean and odour free. Since the last inspection a number of improvements had taken place. These included internet access and the improved use of technology which had benefited people in the home and the staff team.