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We are carrying out a review of quality at The Beeches. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 21 August 2019

About the service

The Beeches is a residential care home providing personal care and accommodation to 35 people aged 65 and over at the time of the inspection, some of which were living with dementia. The service can support up to 40 people in a single adapted building.

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

Systems were not effective at identifying areas that needed improving and to keep people safe. People were left at risk in the event of an emergency and instructions from the fire service had not all been followed. Some building checks were also not completed. Risks were not always assessed, planned for and mitigated to keep people safe. People were not always protected from the risk of cross infection and lessons had not always been learned. The previous inspection rating was not displayed as required.

People did not always have their mental capacity assessed when necessary although staff did generally ask for people’s consent. The policies and procedures did not support best practice in relation to the Mental Capacity Act (2005). Staff did receive training, however the application of their training was inconsistent. People were supported to have adequate amounts of food and drink, although there was mixed feedback about what people thought about the food. People’s weights were not always effectively monitored.

Staff were not always effectively deployed, although staff were recruited safely. People were protected from the risk of abuse by staff who understood their safeguarding responsibilities. There were occasions when people were not always treated with dignity, but people felt positively about the staff overall. People were supported to be independent and were involved in their care.

People were able to access activities and trips of their choice, although this opportunity reduced at weekends when there was less staffing available. People and relatives felt involved in their care, but reviews of this were not always effective. People were supported at the end of their life. People and relatives felt able to complain and an appropriate procedure was in place.

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

The last rating for this service was requires improvement (published 15 June 2018) and there was one breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 about a lack good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made or sustained and the provider was still in breach of regulations, with new breaches also being identified. The service has deteriorated to inadequate.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to medicines, risk management, people were not having their mental capacity assessed as necessary and governance system were not effective at identifying areas that needed improvement.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

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.

Special measures

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect

Inspection areas

Safe

Inadequate

Updated 21 August 2019

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 21 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 21 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 21 August 2019

The service was not well-led.

Details are in our well-Led findings below.