Beggars Roost Nursing Home

Updated 27 May 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 12 May 2021 and was announced.

Updated 27 May 2021

This inspection took place on 5 and 9 July 2018 and was unannounced.

Beggars Roost Nursing Home is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation and nursing or personal care for up to 28 people and there were 23 people living at the home at the time of the inspection. Beggars Roost Nursing Home is a detached property in a rural location. It is an older residential property which has been extended and adapted to be suitable as a residential care and nursing home. There was a passenger lift so people can access the first floor and corridors had sloping floors rather than steps for those with mobility needs. All bedrooms were single and nine had a en suite bathroom and seven had an en-suite toilet. There is a lounge and separate conservatory area which is used as dining room and for activities. The home had gardens and outdoor space which people used to sit in, to garden in, or, to have their meals during summer.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and 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.

We made a requirement at the last inspection as people were not fully involved in planning their care and as care did not always reflect people’s preferences. The provider sent us an action plan to say how this was being addressed. At this inspection we found improvements had been made. People were involved in decisions about their care which reflected their preferences and changing needs. The provider had met this regulation.

The provider ensured safe care was provided to people. Risks to people were assessed and measures taken to mitigate these. The premises and equipment were safely maintained. Sufficient numbers of care and nursing staff were deployed to meet people’s needs. Checks were made to ensure staff were suitable to work in a care setting. Medicines were safely managed. The home was clean and hygienic with no offensive odours. Incidents or accidents were reviewed and action taken to reduce the likelihood of any reoccurrence.

The provider and management team ensured current guidance and legislation was followed regarding people’s care and treatment. Staff were well trained and supervised. The staff felt supported and valued.

People’s nutritional needs were assessed and people were supported to eat and drink. There was a choice of food. Health care needs were monitored and referrals made to other services to ensure there was a coordinated approach to people’s care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with kindness, respect and compassion. Care was individualised and reflected people’s preferences and changing needs. People’s privacy and dignity were promoted.

People received personalised care which was responsive to their needs. The provider identified and met people’s communication needs. A range of activities were provided which were based on people’s choices and their needs. The provider had an effective complaints procedure and people and their relatives confirmed they were listened to and changes made when requested. The provider had links with hospice services regarding the provision of end of life care.

The service was well led and provided person centred care based on its values of treating people with dignity, promoting independence and rights to privacy and dignity. People and their relatives had opportunities to express their views about the service and were consulted about their care. A number of audits were carried out regarding the quality of the service.

Further information is in the detailed findings below.