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Archived: Beechwood Specialist Services Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 April 2017

Beechwood Specialist Services is registered to provide accommodation and support for up to sixty adults who require support with their mental and physical health. At the time of this inspection there were 37 people living there.

The building is a large detached property overlooking the River Mersey in Aigburth. It provides people with their own bedroom and shared lounges, dining areas and bathrooms. Due to the size and layout of the building it does not provide a domestic style of living for people. The provider has altered the way the building is used to begin to address this issue.

The home did not have a registered manager. 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 and associated Regulations about how the service is run. A manager had been appointed who has since applied to register with CQC.

At our last inspection of the home in January 2016 we asked the provider to make improvements with regards to providing safe care and treatment, safeguarding service users and ensuring systems were in place for monitoring the service. At this inspection we found that improvements had been made.

Staff had different approaches to supporting people at different times. We saw some examples of very good individual care provide to people. However we also saw times when staff concentrated on the task they were carrying out and were not as respectful to people as they should be.

Care plans did not always reflect the person’s likes and dislikes and their preferred lifestyle. Staff knew this information but ensuring it was recorded would help to plan activities and occupation with people.

People had mixed views about the support they received with activities and occupying their time. Plans were in place but not yet fully operating to support people with activities and occupation that they enjoyed and would benefit from.

People liked and trusted the staff team. They said they felt confident to raise any concerns or complaints that they had.

Policies and procedures were in place to guide staff on recognising and reporting any safeguarding concerns that arose. Staff knew about these and told us that they would follow them when needed.

A whistle blowing policy was also in place and records showed that the provider took any whistle blowing concerns seriously and acted upon them.

People received the support they need with their medication. Their health care needs were assessed and they were supported to access health advice. Care plans were in place to guide staff on how to meet people’s health care needs.

Procedures for ensuring people were not unduly deprived of their liberty had been followed.

The building was safe and work had taken place to make it a more pleasant environment for people to live in. This had included splitting the home into separate units so people had a smaller living environment with the intention that each unit could specialise in supporting people with different needs.

Robust recruitment procedures were in place and followed to check staff were safe to work with people who may be vulnerable. Staff received training and supervision to help them carry out their role effectively.

The provider ensured they had a clear oversight of the home and how it was operating with clear systems in place for checking the safety and quality of the service and planning improvements.

Inspection areas

Safe

Good

Updated 13 April 2017

The service was safe.

Safeguarding concerns were recognised and acted upon by staff.

People received their medication on time and as prescribed.

Systems were in place for ensuring the environment was a safe place for people to live.

Robust recruitment procedures were in place and followed.

Effective

Good

Updated 13 April 2017

The service was effective.

People received the support they needed to monitor their health care.

Staff received training and support to undertaken their role effectively.

Improvements continued to be made to the environment to make it a more pleasant and safe place to live.

Procedures for ensuring people were not unduly deprived of their liberty had been followed.

Caring

Requires improvement

Updated 13 April 2017

The service was not always caring.

Staff had different approaches to supporting people at different time. This meant the service people received was not consistently caring and respectful.

People liked and trusted the staff team.

Systems were in place to inform people and their relatives about how the home operated.

Responsive

Requires improvement

Updated 13 April 2017

The service was not always responsive.

People had mixed views about the support they received with activities and occupying their time.

People’s support needs were assessed and plans were in place to meet these. Care plans did not always reflect the person’s likes and chosen lifestyle.

People felt confident to raise a concern or complaint and systems were followed to deal with these.

Well-led

Requires improvement

Updated 13 April 2017

The service was not always well led.

The service did not have a registered manager. A manager had been appointed who has since applied to register with CQC.

The provider ensured they had a clear oversight of the home and how it was operating. However there were still some areas that required improving.

Clear systems were in place for checking the safety and quality of the service and planning improvements.