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Beechill Nursing Home Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 November 2020

About the service

Beechill Nursing Home (Beechill) is a nursing home providing personal and nursing care for up to 31 people with a range of needs. This included both younger and older adults needing support in relation to physical disability, the misuse of alcohol or drugs, mental health and dementia. At the time of the inspection 28 people were living at Beechill.

There are 23 single rooms and four double rooms across two floors. Each floor has shared bathrooms and toilet facilities.

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

People and relatives were positive about living at Beechill. The staff knew people’s needs and how to support them.

At the time of our inspection new care plans were being computerised, and paper care records continued to be in use. Records we reviewed identified people's care needs, risks they may face and guidance was provided for staff in how to meet these needs. Staff however didn’t always have immediate access to the computerised care documentation system. After our inspection we were informed by the registered manager the service was reverting to the paper-based system.

People received their medicines as prescribed. Guidelines for when to administer ‘as required’ medicines did not always contain enough details on how the person would inform staff they needed the ‘as required’ medicine. The registered manager told us they would review this.

Staff knew the reporting procedures for accidents, incidents and safeguarding. Records of investigations completed and action taken following these reports were variable, with some not being available on the day of our inspection. We have made a recommendation that national good practice guidelines are followed for the recording of investigations and actions taken following an accident or incident.

The home was visibly clean. Staff wore appropriate PPE when supporting people, however we observed some staff incorrectly wearing their masks in the communal dining area. We have made a recommendation that government guidance for the wearing of PPE through the Covid-19 pandemic is followed in all areas.

A quality assurance system was in place, with regular reviews and audits being completed. Staff were safely recruited and there were enough staff to meet people’s needs.

An activity officer was in place and staff had completed training on activities and exercise provision. Many people did not want to take part in group activities. Unfortunately trips within the local community had been stopped due to the Covid-19 pandemic.

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 requires improvement (published 19 June 2019) and there were two breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. We also met with the provider to discuss our concerns and monitor their progress in meeting the action plan.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The service remains rated requires improvement. This is the seventh consecutive Requires Improvement rating. We will continue to monitor the service and will meet with the provider to discuss how they will make changes to ensure they improve their rating to at least good.

Why we inspected

This was a planned inspection based on the previous rating. We undertook this focused inspection to check the service had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, responsive and well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requ

Inspection areas

Safe

Good

Updated 12 November 2020

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 November 2020

Caring

Requires improvement

Updated 12 November 2020

Responsive

Requires improvement

Updated 12 November 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 November 2020

The service was not always well-led.

Details are in our well-led findings below.