Mega Resources Nursing & Care - Bedford

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection there were 91 people receiving personal care at the service.

Most people and relatives were positive about the support staff gave them. One person said, ''If you are looking for a good service then I would recommend this one. [Staff] know what they are doing.''

People felt safe using the service and staff were trained in safeguarding. Risks to people had been assessed and plans were in place to mitigate risks as far as possible. There were enough staff to support people safely, although the way in which care visit times were monitored needed improvement. We have made a recommendation that the management team monitor care visit times more thoroughly. People were supported safely with their medicines. Staff followed good infection control processes.

Staff were trained and knowledgeable and the management team checked staff competencies regularly. People were supported to eat and drink if they needed this support. Staff worked well with health professionals and supported people in line with guidance from professionals where this was given. 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 and relatives felt staff were kind and caring. Staff ensured people were supported to make day to day choices whilst they were being supported. People were supported to be independent if this was their choice and staff supported people with dignity and respect.

People's personalised care and support needs had been assessed; however care plans would have benefitted from being more detailed. We have made a recommendation the management team review care plans to ensure they are sufficiently detailed. Staff knew how to speak with people in their identified ways of communication. There was a complaints policy in place at the service and concerns were responded to appropriately. People received dignified and compassionate care at the end of their life.

The registered manager and management team were passionate about providing good quality care for people. They took our feedback seriously and started to put improvements in place to address the areas we found needed action during the inspection. Staff enjoyed working at the service and took pride in their job roles. People and staff were involved in meetings to give feedback about the service. The staff team worked well with other professionals. We were assured the management team would continue to improve the service.