Mega Resources Nursing & Care Bedford was rated Good overall at its August 2023 inspection, with four key questions rated Good, but Well-Led declined to Requires Improvement due to quality assurance systems failing to identify issues without CQC prompting. Key recommendations were made regarding care visit time monitoring and care plan detail, both of which the management team began addressing during the inspection.
Concerns (6)
moderate
Governance
: “these were not always effective in identifying where improvements could be made...improvements put in place during the inspection, were as a direct result of our feedback.”
moderateMissed or late visits: “Staff turn up when they want. I am never sure when they are coming. They always seem to be either too early or too late for the things I needed help with.”
minorCare planning: “some care plans were not as detailed as they could be to explain to staff how living with these support needs personally affected people.”
minorCommunication with families: “I do not feel like we get asked how things are going. It is always us making contact to raise issues.”
minorRecord keeping: “some checks of new staff's full employment histories were not completed. The management team addressed this during the inspection.”
minorMedication management: “Some people were prescribed medicines to be given on an 'as and when required' (PRN) basis. These medicines did not have detailed protocols in place to guide staff.”
Strengths
· People felt safe and staff were trained in safeguarding, with clear knowledge of how to recognise and report abuse internally and externally.
· Staff competency in medicines administration was checked regularly and infection control practices were good.
· Staff worked effectively with health professionals including district nurses, physiotherapists, social workers and occupational therapists.
· The rapid response service enabled a large proportion of people to regain independence and no longer require ongoing care support.
· People and relatives praised staff as kind, caring and respectful, promoting dignity and independence.
Quality-Statement breakdown (23)
safe: Staffing and recruitmentNot rated
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported, respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Working in partnership with othersNot rated