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The Beeches Nursing and Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 June 2019

About the service

The Beeches Nursing and Residential Care Home is registered to provide personal and nursing care for up to 31 people. Care is primarily provided for older people and older people living with a dementia. At the time of the inspection there were 17 people using the service.

The service can accommodate people over two floors. There are communal lounge, dining areas and bathing facilities. At the time of the inspection the first floor of the service was unoccupied.

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

At this inspection improvements had been made in relation to risk. However, further work was needed. The provider continued to be in breach of regulation 12.

This inspection identified improvement had been made in relation to safety. However, the fire authority had visited and identified a number of actions needed to ensure fire safety. At the time of the inspection there was work still ongoing with fire safety.

Since our last comprehensive and focussed inspection of the service we found there had been improvements made with the safe management of medicines. However, further work was needed to update the providers policy and practice in relation to the management of medicines to incorporate current best practice.

We have made a recommendation about updating the policy and practice.

Accidents and incidents were recorded and analysed, and risk assessments were in place. The manager and staff understood their responsibilities about safeguarding.

There were enough staff employed and on duty at any one time to meet the needs of people. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.

Staff had the skills and knowledge to deliver care and support in a person-centred way. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice. At the time of the inspection, work was ongoing to strengthen the providers documentation related to mental capacity and to ensure that records evidenced how staff were following the principles of the Mental Capacity Act 2005.

People told us their privacy and dignity was respected and their independence encouraged. People and relatives were positive about the caring nature of staff and the service they received. People were able to participate in a range of activities if they chose to do so.

The management team were open and approachable which enabled people and relatives to share their views and raise concerns. People told us if they were worried about anything they would be comfortable to talk with staff or the manager.

The provider monitored quality, acted quickly when change was required, sought people's views and planned ongoing improvements.

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) At the last comprehensive inspection we rated the service as inadequate, (published November 2018). We found multiple breaches of the regulations. We took urgent enforcement action and placed conditions upon the provider's registration, including the suspension of admissions.

Exiting special measures

This service has been in Special Measures. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

Previous breaches

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made. However, the provider is still in breach of one regulation.

Why we inspected

This inspection was carried out to follow up action we told the provider to take at the last inspection.

Inspection areas

Safe

Requires improvement

Updated 7 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 7 June 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 7 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 7 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 7 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.