Beechcroft

Date of assessment: 11 August 2026 to 19 August 2026. The inspection was undertaken to assess if the provider had complied with a previous enforcement notice served on 21 November 2025 for failing to meet the regulation relating to good governance.

Beechcroft is a residential care home registered to provide care and support up to 34 people. The service is over 3 floors, with access to upper floors by stair lifts and a shaft lift. At the time of our visit there were 33 people living at the service. We visited the service on 11 August 2026.

Following our assessment in November 2025, we served a warning notice against the provider and registered manager for a breach in regulation relating to good governance. The provider was also in breach of 2 other regulations relating to person centred care and safe care and treatment following our last assessment. As part of this visit, we also assessed if the provider had taken appropriate actions to meet the requirements of these regulations.

At this assessment, the provider had met the conditions of the warning notice relating to the good governance regulation and had also met the requirements of the regulation relating to person centred care. However, whilst we identified improvements in the regulation relating to safe care and treatment, the provider remained in breach, as we identified ongoing concerns relating to medicines management.

People received their medicines as prescribed, however we identified that not all protocols were in place for when people were prescribed ‘when required’ medicines, for example for anxiety. Risk assessments were not always completed when people used flammable topical creams and improvements were required in relation to the storage of liquid medicines.

Improvements were identified in relation to the recording and monitoring of people’s known risks. People’s care plans were now detailed around their specific medical needs. There were now effective systems and process to monitor incidents and accidents which reduced the risk of recurrence. Where people were identified as at risk, for example of dehydration or bowel impaction, action had been taken to ensure this was effectively monitored and escalated as required.

The service actively sought feedback from people, relatives and staff and had systems in place to monitor complaints. A continual service improvement plan gave an oversight of actions and improvements that had been identified and when they were completed.

Governance systems were operated effectively to identify areas for improvement. A new compliance manager was now employed by the provider who had introduced new governance tools and was currently embedding them throughout the service.

We have asked the provider for an action plan in response to the concerns found at this assessment.

Date of assessment 8 September to 14 November 2025. Beechcroft is a residential care home registered to provide care and support up to 34 people. The service is over 3 floors, with access to upper floors by stair lifts and a shaft lift. At the time of the inspection there were 33 people living at the service.We visited the service on 8 and 9 September and 30 October 2025.

During this assessment, we looked at all quality statements. This was a responsive assessment in response to concerns shared with us about people’s safety and the outcomes of their care.

We found 3 breaches of regulation at this assessment in relation to safe care and treatment, person centred care and good governance.

Systems to monitor people’s risks were not always effective. Staff recorded incidents, including near-misses and physical violence towards staff. However, there was no system in place to identify them as incidents or to review them on a regular basis to identify opportunities for learning. This meant opportunities were missed to mitigate future risks and to improve the care people received. People’s care plans lacked detail around specific medical needs, and health monitoring records were poorly completed; records showed people did not always have enough to drink. People’s prescribed creams were also poorly managed, although they received other prescribed medicines safely.

Governance systems were not operated effectively to identify areas for improvement. The service actively sought feedback from people, relatives and staff and had good systems in place to monitor complaints. However, they did not effectively analyse this information or use it to develop the service or improve people’s experience of care.

Records showed significant numbers of incidents where people were unsettled or emotionally distressed, and whilst people’s care plans contained good information about their general care needs, they lacked detail about how staff could support them emotionally.

Staff received appropriate training, and most staff told us there were enough staff on duty to meet people’s needs. Staff gave excellent feedback about working at the service and felt well supported by management.

The registered manager was pro-active during this assessment process and responded positively to the concerns we identified, putting plans in place to rectify them. This included acknowledging where governance systems needed strengthening and setting out their plans to do so.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.