- Care home
Beechcroft
We served a warning notice on Beechcroft Home Limited on 21 November 2025 for failing to meet the regulations related to good governance at Beechcroft.
Assessment report published 16 January 2026
Contents
Ratings
Our view of the service
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.
People's experience of this service
While people expressed general satisfaction with their care our assessment found elements of care did not meet the expected standards.
We observed kind and caring interactions between staff and people. One person told us, “[Staff are] always polite. I have no concerns”. Another person said, “Staff are really good at their jobs”. However, some people felt their needs were not being fully met, and they felt cut off from the community. One person said, “I’ve never been taken out by a staff member, why can’t I just sit in the garden? I feel like a prisoner here”.
People’s relatives gave positive feedback about the service. Comments included, “They are absolutely wonderful, they run it so well. I visit every week and the staff are brilliant”, “The care they seem to be having is good, and they are looked after very well”, “I feel quite confident [relative] is safe and well looked after” and “I’m very happy. It is the best place for my [relative]. I was a bit apprehensive beforehand but their emotional and physical care has been looked after.”
Staff treated people with dignity and respect. One staff member said, “I try and make aconscious effort to listen carefully and speak with warmth and patience, especially when someone is feeling anxious or confused. Simple gestures like a smile, gentle tone, or taking a few extra minutes to chat can make a big difference in helping residents feel respected and cared for. I try and remember to make sure I am treating everyone with dignity, knocking before entering rooms, offering choices whenever possible, and encouraging independence in daily tasks”.
We received some mixed feedback about cleanliness, and some people’s relatives told us people had experienced poor hygiene standards in individual bedrooms. Some relatives told us they had raised concerns with the registered manager, for example, about room sizes and missing laundry. Relatives told us the registered manager was responsive and dealt with complaints well.