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Inspection Summary


Overall summary & rating

Good

Updated 14 July 2018

This inspection took place on 12 June 2018 and was announced. At the last inspection on 01 June 2017, the service was rated as requires improvement. We asked the provider to take action to make improvements regarding fire safety, storage of COSHH (Control of Substances Hazardous to Health) materials, how accidents or incidents were investigated and the risk of people, visitors and staff consuming contaminated water. This action has been completed.

The Beeches (Seven Kings) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service provides care and accommodation for up to ten people with a history of mental illness. At the time of our visit, there were eight people using the service.

There was no registered manager in place. The manager was in the process of applying to register with us. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported in safe way and staff had a good understanding on the actions to take to reduce risks to their well-being. The provider had safeguarding policies and procedures.

There was enough staff employed to meet people's care needs. Recruitment procedures were robust to ensure staff employed were suitable to support people.

People were supported by staff that had been trained to administer their medicines safely.

The service was clean and tidy. Staff knew how to use safe infection control practices to help people avoid infections.

Staff received training and support to ensure they had the skills to provide people's support in a safe way. New staff received induction training to provide them with the skills to care for people.

The manager and staff understood their responsibility to comply with the requirement of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to make choices and had control over their lives. Staff respected people’s privacy and dignity and people were encouraged to be independent. There were good interactions between staff and people who used the service. People and relatives said staff were kind and caring.

People were involved in planning the care and support provided by the service. They received health support from staff that knew them well and understood their individual needs. People’s dietary needs were taken into account and their nutritional needs were monitored appropriately.

Records showed people had regular access to health and social care professionals. Staff had a good understanding of people’s needs, choices and preferences, and were aware of how to meet people’s individual needs as they changed. There were suitable activities for people to join in.

The provider had a complaints procedure which people could access and made aware of. The manager ensured that any issues raised were resolved to the satisfaction of the person.

The provider sought the views of people who used the service, staff, relatives and professionals and responded to them to help improve the service. There were regular audits carried out to ensure the quality of the service provided was maintained.

Inspection areas

Safe

Good

Updated 14 July 2018

The service was safe. Staff understood their role in safeguarding people and how to raise concerns about people’s safety.

Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks. These were reviewed on a regular basis.

Sufficient staff were available to meet people’s needs and a robust recruitment system was in place.

Staff had been trained in medicines administration and arrangements were in place to ensure people received their medicines safely.

There were systems in place for the monitoring and prevention of infection.

Effective

Good

Updated 14 July 2018

The service was effective. An initial assessment of people was carried out before they started using the service.

Staff received an appropriate induction and regular training. They were supported through regular supervision and appraisals.

Staff understood their responsibilities under the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

People were supported to maintain their hydration and nutrition. Staff responded when people’s health needs changed and made referral to other healthcare professionals.

Caring

Good

Updated 14 July 2018

The service was caring. People were treated with kindness, compassion and respect. Staff interacted with the people in a positive manner.

Staff knew each person and their needs and acted in accordance with those needs in a timely manner. People's privacy and dignity were respected.

People were supported to be as independent as possible. Staff were aware of people’s preferences and encouraged people to have a say in how their needs were met.

Responsive

Good

Updated 14 July 2018

The service was responsive. People received care and support that met their needs and took account of their personal circumstances.

People were supported with their interests and hobbies and links were forged with the local community.

The provider’s complaints policy and procedure was accessible to people and their relatives.

Well-led

Good

Updated 14 July 2018

The service was well-led. The management culture was positive where people and staff felt involved and listened to. Staff told us they felt supported.

People and their representatives felt the service was well managed and staff felt supported.

There were regular audits carried out to monitor the quality of the service and drive improvements. The provider had systems in place to monitor safety and quality and to drive improvements.