Archived: Beechcroft Manor Nursing Home

At our last inspection in August 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was not a registered manager in place at the time of our inspection. Since the previous registered manager had left a new manager had been employed and was working at the home . 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 (HSCA) and associated Regulations about how the service is run.

The provider had learned lessons from other care service who had locations which failed to comply with the requirements of the Health and Social Care Act 2008 (Regulated Activities) 2014.HSCA.

People told us they felt safe and said they were supported to have choice and control in their lives.

Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

There were sufficient staff available to ensure people's wellbeing, safety and security was protected.

An appropriate recruitment and selection process was in place which ensured new staff had the right skills and were suitable to work with people.

Staff had a good understanding of systems in place to manage medicines and safeguarding matters.

The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS).

People we spoke with said they were involved in care planning and were confident that their comments and concerns would be acted upon.

The provider took account of any complaints and comments to improve the service.

Risk assessments were in place for a number of areas and were regularly updated.

Staff had good knowledge and understanding of people's health conditions.

Feedback received from people and their relatives was positive and people were encouraged to contribute their views.

People were positive about the staff who supported them and told us they liked the staff and were treated with dignity and kindness.

People were satisfied with the support they received in relation to nutrition and hydration.

There was an open and transparent culture and encouragement for people to provide feedback.

Staff told us they enjoyed working for the organisation and spoke positively about the culture and management of the service. They also told us that they were encouraged to openly discuss any issues.

We saw that people had their privacy and dignity maintained whilst being supported with care. Care needs had been assessed with a personalised care plan devised with guidance for staff on how to support people.

The home was clean and well maintained. People had personalised their rooms with their own possessions including their own furniture. There were risk assessments for all equipment used to support people.

We carried out an inspection in January 2103 when we identified concerns with care planning and medicines. . We made compliance actions asking the provider to take action in order that we were reassured that people were in receipt of safe and adequate care. The provider wrote to us and told us what action they were going to take.

We carried out an inspection on 23 April 2013 to review the progress the provider had made in taking action to be compliant in the areas where we had previously assessed them as non compliant.

Staff we spoke with explained how the care and medicine administration were monitored and how issues and concerns were

People we spoke with said that the staff 'Are nice and helpful'. At lunchtime the majority of people stayed in their room to have their lunch. The manager told us that most people chose to stay in their rooms unless there was an activity or function and was not because the lift was being repaired on the day of our visit. Staff told us that it depends how people are feeling as to whether they come down to the communal areas and that the needs of people can change daily.

Comments from staff included 'We have handovers each time the shift changes which is helpful when I only work part time'. Staff we met on the day told us about the training they had attended recently and that they were able to speak openly with the manager about any concerns.