Beech Haven

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and,reviewing their health, care, wellbeing and communication needs with them. Staff and the

registered manager told us that people were assessed prior to them joining the service toensure the service could meet their needs. The registered manager told us, “We involve

family from the beginning of a resident’s admission, we have a checklist, go throughpeople’s needs, carry out an in-depth assessment, check mobility and risk assessments.”

Staff confirmed that peoples care plans were in place and they read them during handover,so they knew what was required. They also referred to the assessment on their hand-held

mobile devices.People’s care plans contained examples of assessments of people’s needs and risks, forexample, risk of falls, people’s mobility, nutrition, and their skin integrity.

The provider planned and delivered care in partnership with people, considering what was important to them and what mattered most in their daily lives. Care and treatment were provided in line with relevant legislation, evidence-based best practice, and recognised standards.

The provider worked with healthcare professionals to ensure people’s health needs were met. The registered manager told us, “We know residents very well. We are always noting changes, speaking to GPs, residents, their families, and the Local Authority. We feel we are very proactive in this area.”

People and their relatives told us they were happy with the way staff supported them, and felt their needs were understood and responded to appropriately.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People were involved in conversations about their care and support and there was good communication and information sharing between staff. The registered manager maintained good communication links with local health and care services and shared and received information about people’s care needs appropriately.

The staff communicated well with each other. There were regular handovers of information and meetings as well as systems for sharing communication. The staff told us they felt well informed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff supported people with their health and wellbeing, referring them to other relevant health services as necessary. There was an assigned member of staff who was responsible for liaising with health professionals on behalf of people and making referrals to health teams.

We were not provided with contact details for relevant health professionals, which limited our ability to gather feedback on the effectiveness of the provider’s engagement with external services.

The provider routinely monitored people’s care and treatment to continuously improve it.They ensured that outcomes were positive and consistent, and that they met both clinical

expectations and the expectations of people themselves. The provider routinely monitoredpeople’s care and treatment to continuously improve it. They were able to demonstrate how people’s health was monitored and through their knowledge of people and when to seekprofessional help to achieve the right outcomes for people. Peoples care plans evidencedmonthly weighing and fluid consumption records. Daily notes were completed at thecorrect specified times to support people’s personal needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People consented to their care and treatment. Staff assessed people’s mental capacity to make different decisions. People were offered choices and supported to consent when they were able to. The staff knew them well and understood how to present information to enable each person to make a choice.

We observed staff asking people what they wanted to happen, for example where to sit, to have personal care, what they wanted to eat and where. Staff listened and were led by the individual’s choices that they had given consent for. The staff had a good understanding of the Mental Capacity Act 2005 and how to apply their knowledge.