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Beechwood House Rest Home Inadequate

We are carrying out a review of quality at Beechwood House Rest Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 2 August 2019

About the service

Beechwood House Rest Home is a residential care home providing personal care to nine people aged 65 and over at the time of the inspection. The service can accommodate up to 13 people in one adapted building.

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

Quality had deteriorated. The provider had not had close oversight. They had not satisfactorily addressed the issues identified at the last inspection. Their quality assurance had not identified the shortcomings found at this inspection. Records were incomplete and lacked detail. Legal requirements for displaying the inspection rating were not met. We have made a recommendation about understanding the requirement to notify CQC of changes in the management of the service.

People were not protected from avoidable harm. Checks on volunteers and staff were incomplete. There were reports of unkind staff. Incidents were not always reported or addressed. Risk assessments were incomplete or missing. Some environmental risks were not addressed, and there were shortfalls in cleanliness. Medicines were not managed safely.

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 least restrictive practice. One person was unduly restricted, and we raised a safeguarding adults referral concerning this.

Staff did not all have the necessary skills to work safely. They did not always seek timely medical advice when people showed signs of being unwell. Assessments and care plans lacked detail regarding people’s care needs. Care was often task-focused rather than centred on people’s individual needs and wishes.

Most people said they liked the staff and we observed some respectful, gentle interactions. Care was offered discreetly. However, people’s preferences were not always respected. People had little involvement in planning their care.

People mostly said they liked the food. However, there was not usually a choice of main meal. People were not always offered alternatives if they did not want what was offered. We have made a recommendation regarding ensuring people always have enough to drink.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 22 November 2018); there were multiple breaches of regulation and the service was placed into special measures. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection improvements had not been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an unannounced comprehensive inspection of this service on 28 September, 2 October and 10 October 2018. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding service users from abuse and improper treatment, good governance and notifications.

At this inspection we checked they now met legal requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beechwood House Rest Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment, safeguarding people from abuse and improper treatment, good governance, person-centred care, and the requirement to display ratings.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet the provider to advise them of the proposed regulatory acti

Inspection areas

Safe

Inadequate

Updated 2 August 2019

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 2 August 2019

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 2 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 2 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 2 August 2019

The service was not well-led.

Details are in our well-Led findings below.