• Care Home
  • Care home

Hepworth House

Overall: Inadequate read more about inspection ratings

1 St Georges Road, Bedford, Bedfordshire, MK40 2LS (01234) 262139

Provided and run by:
313 Healthcare Limited

Important: The provider of this service changed. See old profile
Important:

We served a warning notice on 313 Healthcare limited on 03 February 2025 for failing to meet the regulations related to person centred care and governance at Hepworth House.

 

We imposed conditions on the providers registration for Hepworth House on 17 January 2025 for failing to meet the regulations relating to safe care and treatment and safeguarding. The provider is required to send the commission a report monthly detailing evidence of completed quality monitoring or audits and quality checks and must seek permission from the commission before admitting any new service users or readmitting any current service users into the location.

All Inspections

During an assessment under our new approach

Date of assessment 07 to 27 January 2025

Hepworth House is a care home providing accommodation and personal care for up to 20

people, the service provides support to older people with a physical disability and people

living with dementia.

The service was in breach of 4 legal regulations in relation to safe care and treatment,

safeguarding, good governance and person-centred care.

Systems were not established to enable the provider to review and act upon incidents,

accidents and adverse events. Safeguarding concerns were not escalated to the local

authority for independent review. Care plans and risk assessments were not person

centred and did not always have the necessary information to enable staff to provide safe

care. Topical medicines were not managed safely, and time critical medicines were not

always administered in a timely manner. Staff did not always have the knowledge and

skills to enable them to carry out their roles within the law. The provider did not work in

line with the Mental Capacity Act 2005. Governance systems were ineffective in driving

improvement in the service. However, staff were recruited safely, wore appropriate

personal protective equipment and responded promptly to people’s call bells.

In instances where CQC have decided to take civil or criminal enforcement action against

a provider, we will publish this information on our website after any representations and/

or appeals have been concluded.

This service is being placed into special measures. The purpose of special measures is

to ensure that services providing inadequate care make significant improvements.

Special measures provide a framework within which we user our enforcement powers in

response to inadequate care and provide a timeframe within which providers must

improve the quality of the care they provide.

25 April 2019

During a routine inspection

About the service: Hepworth House is a residential care home providing accommodation for older people, who may be living with dementia, a sensory impairment or a physical disability, who require nursing or personal care. Hepworth House is a small service consisting of three floors.

People’s experience of using this service: People were not always kept safe from the risk of harm as actions were not taken to address potential risks caused by environmental and infection control issues at the service. These were rectified at once following the first day of our inspection.

The premises were not designed to support people living with dementia. There was no signage or decorations to support people to orientate themselves to their environment.

People’s needs relating to living with their dementia were not thoroughly explained and detailed in their care plans.

People with complex communication needs did not have access to communication methods to help them make choices or express their views.

We have made a recommendation about adapting the premises and communication methods for people living with dementia.

People told us that there were limited activities to take part in during the day. We saw that people were left for long periods of time with little to do and were not given opportunities to choose or take part in new activities.

People were supported to take their medicines safely.

Necessary recruitment checks were completed before staff members started working at the service. Staff received training and supervisions to perform their job roles effectively.

People were positive about the food and drink at the service and we saw that people were supported to maintain a balanced diet depending on their needs.

People were supported to live healthy lives and saw relevant health professionals when they needed to.

People were positive about the care they received. People were treated with kindness respect and compassion. People’s privacy, dignity and independence was promoted.

People and their relatives were involved in decisions about their care.

People’s preferences for the end of their life were recorded and people were treated with dignity and respect at this time.

The registered manager and provider completed a variety of audits to monitor the quality of the service.

Feedback was collected from people, their relatives and the staff team and was used to improve the service.

The registered manager and provider were positive about improving the service and had several service improvement plans and actions to achieve these improvements.

We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to good governance. Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection: This was the services first inspection since registering with the Care Quality Commission on 12 January 2018.

Why we inspected: This was a planned inspection based on when the service first registered with the Care Quality Commission.

Follow up: We have asked the provider to send us an action plan telling us what steps they are to take to make the improvements needed. We will continue to monitor information and intelligence we receive about the service to ensure good quality is provided to people. We will return to re-inspect in line with our inspection timescales for Requires Improvement services.