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CQC report explained · a residential care home, run by Gospel Standard Bethesda Fund

Brighton and Hove Bethesda Home

5 Hove Park Gardens, Old Shoreham Road, Hove, BN3 6HN

Goodpublished 9 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected by safeguarding procedures, risk assessments, safe recruitment and enough staff. Medicines were given safely, but the effectiveness of some as-needed medicines was not always recorded.
Effective?
Good
People's needs were assessed before they moved in. Staff were trained and supported, people received suitable food and healthcare, and consent and best-interest processes were followed.
Caring?
Good
Inspectors observed kind and respectful interactions. Staff supported privacy, dignity, independence and people's choices.
Responsive?
Good
Care plans were personalised and regularly reviewed. The home supported communication needs, faith, activities, family relationships, complaints and end-of-life wishes.
Well-led?
Good
People, relatives and staff were involved in the running of the home. Quality checks were used to identify improvements, and the home worked well with outside professionals.
The latest report, explained

What inspectors found, November 2023

Brighton and Hove Bethesda Home is rated Good; inspectors found safe, kind and personalised care, with some medicine records needing improvement.

This was an unannounced inspection on 12 and 16 October 2023. Inspectors spoke with people, relatives, staff and health professionals. They also reviewed care plans, medicine records, recruitment files and management records.

The home was clean and had enough trained staff. People said they felt safe, were treated with dignity and received care that respected their choices, faith and daily routines. Inspectors also found good links with health professionals and activities that helped people maintain relationships and interests.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the service consistently met people's needs and protected them from avoidable harm, although some smaller improvements were still needed.

What inspectors praised

  • People feel safe

    People said they felt safe and could raise worries with staff or management. Staff understood how to recognise and report abuse.

    “People told us they felt safe and happy at the service and were comfortable to speak with staff or management if they had any worries or concerns.” from the report

  • Kind and respectful care

    Staff knew people well and respected their privacy, preferred names, routines and independence. Inspectors observed positive, caring interactions.

    “We observed positive interactions between people and staff throughout the inspection.” from the report

  • Personalised support

    Care plans described what mattered to each person and how they wanted to be supported. People and relatives were involved in reviews where appropriate.

    “People's care plans detailed person-centred information to guide staff on how they wished to be supported.” from the report

  • Good partnership working

    The home worked closely with GPs, nurses and other professionals. This helped people receive timely support when their health needs changed.

    “They contact us for support if people are acutely unwell. It's very much about partnership working.” from the report

  • Activities and faith are supported

    People could continue attending services and taking part in activities linked to their interests and faith. The home also helped people keep in touch with family and friends.

    “People continued to practise their faith and were able to attend regular readings, services, and visits from Ministers.” from the report
What inspectors were concerned about

  • Some medicine records were incomplete

    needs fixing

    The effectiveness of medicines given when needed was not always recorded. Inspectors fed this back to management, who said they would speak with staff.

    “Outcomes of the effectiveness of PRN medicines were not always recorded, however, people were able to tell staff if they required further doses.” from the report

  • Policies and audit forms were being updated

    minor

    The provider was replacing some quality audit forms and policies during the inspection. This was being done in stages to avoid disrupting the home.

    “The provider was in the process of updating audit forms and policies for staff to follow, this was being completed at the time of our inspection” from the report
Questions to ask them, based on this report
  1. 01How do you now record whether medicines given when needed have worked?
  2. 02Which audit forms and policies were being updated, and have all staff read and understood them?
  3. 03How will you support my relative's faith, church links and preferred activities?
  4. 04How will relatives be involved in care reviews and kept informed if my relative's needs change?
  5. 05How do you work with health professionals if a resident becomes suddenly unwell?

This was an unannounced first comprehensive inspection of the newly registered service and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 9 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Brighton and Hove Bethesda Home

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Brighton and Hove Bethesda Home →

  2. September 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. January 2023

    Registered with the Care Quality Commission on 3 January 2023.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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