• Care Home
  • Care home

Beechwood House

Overall: Good read more about inspection ratings

1 Priory Gardens, Norton, Stockton-on-tees, TS20 1BJ (01642) 554016

Provided and run by:
Milewood Healthcare Ltd

All Inspections

During an assessment under our new approach

Date of Assessment: 24 March to 16 April 2025. Beechwood House is a residential care home providing personal care for up to 5 people with learning disabilities or autistic people. At the time of this inspection, 5 people were living at the service.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At the last inspection we identified a breach of regulation in relation to the failure to follow the principles of the Mental Capacity Act (MCA). ‘Best interests assessments’ had not taken place prior to restrictions being placed on people. The provider had systems to monitor and assess the quality of the service. However, these had not identified the gaps in the monitoring of people’s financial support and ensuring the MCA code of practice was followed. At this inspection, improvements had been made, and the service was no longer in breach of regulations. The quality assurance systems now captured all aspects of the service.

The provider promoted a culture of inclusion, equality and respecting people’s diversity. The staff embraced this approach and work diligently to embed these principles into their everyday practice. With support from the registered manager, one of the staff members had worked with the local authority to set up a LGBTQ+ forum. The staff member had created easy read documents to explain what people’s rights were, inclusion and diversity principles and how to explore this in individuals care records. The staff team with the people ran the annual PRIDE events from the home and all of the people from the provider’s local houses joined these events. These were very well attended and people told us they found them fun, engaging and helped them understand how to be inclusive.

The provider ensured the service put people first. They encouraged people to share their views and always looked to see what improvements could be made. Staff actively supported people to develop the skills needed to live more independently and reach their full potential. The registered manager ensured the assessments were completed in a timely manner and were regularly reviewed. Care records clearly detailed people’s needs and were written in a person-centred manner. Some people had been supported to write their own assessments and support plans. Staff knew how to provide safe care. They understood people's needs and how to manage any presenting risks.

The provider and registered manager promoted a learning culture where staff had access to a wide range of training, which equipped them with the skills and knowledge to work well with people. Staff found the training really supported them to provide the best care possible for the people who used the service. The provider ensured there were enough staff available to support people. Recruitment practices were meeting requirements. Staff consistently reported the provider was approachable and really encouraged them to go the extra mile.

26 September 2022

During a routine inspection

About the service

Beechwood House is a care home providing personal care to 5 people with a learning disability. The service can support up to 5 people.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right Support: People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. People had a choice about their living environment and were able to personalise their rooms. Staff supported people to take part in activities and pursue their interests in their local area. The home ensured people had access specialist health and social care support in the community.

Right Care: People received kind and compassionate care. Staff promoted equality and diversity. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Enough appropriately skilled staff were deployed to meet people’s needs and keep them safe. The home gave people opportunities to try new activities that enhanced and enriched their lives.

Right Culture: The provider ‘s quality assurance systems had not identified the gaps in the monitoring of people’s financial support and ensuring the MCA code of practice was followed. People received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well and were responsive to their needs. People and those important to them, including advocates, were involved in planning their care.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 16 July 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified a breach in relation to the failure to follow the principles of the Mental Capacity Act (MCA) at this inspection.

We have made a recommendation that the provider keeps their quality monitoring system under review to ensure it effectively monitors the quality and safety of the service.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.