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.