16 July 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by two inspectors.
Service and service type
Beeston View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and six relatives about their experience of the care provided. We spoke with 12 members of staff including the regional director, registered manager, assistant manager, nurses, senior care workers, care workers and housekeeping staff.
We reviewed a range of records. This included 11 people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records. We spoke with one professional who regularly visits the service.
16 July 2021
About the service
Beeston View is a residential care home providing personal and nursing care to 49 people aged 65 and over at the time of the inspection. The service can support up to 54 people across two floors, each of which has separate adapted facilities.
People’s experience of using this service and what we found
Governance systems to monitor the quality and accuracy of care being delivered to people, required improvement. Existing systems had failed to identify shortfalls when care plans needed updating as people’s needs changed or professional guidance was received. This placed people at risk of receiving unsafe care.
Checks were in place to ensure people lived in a safe environment. However, staff practices within the home such as not locking areas of storage and sluice rooms posed a risk to people at risk of falls and to people living with dementia.
We were assured the provider had effective measures in place to reduce the risks of infection and manage the impact of the COVID-19 pandemic.
Staff were recruited safely. Appropriate checks were undertaken for all temporary staff (agency workers). There were adequate staffing levels to meet people’s needs.
Although we found some improvements were needed, we observed positive and caring interactions between staff and people living at Beeston View. People we spoke with were positive about the care provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 16 November 2019).
Why we inspected
We received concerns in relation to poor care, insufficient staffing levels and poor management of the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
During the inspection the provider took actions to reduce the risk. Actions were taken to ensure aspects of the environment did not put people at risk and several care plans were updated in response to our concerns.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beeston View on our website at www.cqc.org.uk.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to unsafe aspects of the environment and care plans not always reflecting people’s changing care needs at this inspection.
Please see the action we have told the provider to take at the end of this report.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.