- Care home
Homebeech
Report from 30 April 2025 assessment
Contents
Ratings
Our view of the service
We visited Homebeech on the 8 May 2025. This assessment was prompted by information of concern received in relation to the cleanliness of the service and several changes in managers. Homebeech is a nursing home that provides accommodation for persons who require nursing and personal care for up to 66 people, at the time of our assessment 51 people were living at the service. The service is registered to support people under and over 65 yrs old. People have varied needs, some people with dementia, Others with nursing needs and some people with learning and physical disabilities.
An assessment has been undertaken of a service that is used by autistic people or people with a learning disability. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The service was not always able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
At our last assessment, we rated the service requires improvement. At this assessment we have continued to rate the service requires improvement. At the last assessment, the provider was in breach of regulations in relation to safe care and treatment and good governance. Improvements were not found at this assessment and the provider remains in breach of those regulations. We also identified a further breach of regulation in relation to the lack of person centred care.
The provider did not always ensure the environment was of a satisfactory standard. Infection, protection and control processes were not always followed. The provider did not always do all that is reasonably practicable to mitigate identified risks to the environment to promote people’s safety. Governance systems were in place but were not always effective. Since the assessment the provider has taken action to address these concerns and confirmed better oversight of care provided is now in place.
People were protected and kept safe from abuse. People were treated with kindness, empathy and compassion and staff respected people’s privacy and dignity. The manager was motivated about getting care right and was responsive to feedback throughout the assessment.
People's experience of this service
During the assessment, we received mixed feedback from people and their relatives. One person told us, “Clothes used to come back nicely ironed. It’s a mess now, even the bedding sometimes comes back with stains on.”
We spoke with and observed people during the visit. We also spoke with relatives and staff to help assess and understand how people’s care needs were being met. Observations at lunch time showed people sat at tables in wheelchairs. These tables were not large enough for people to eat comfortably whilst siting in wheelchairs. Staff told us that seating arrangementswould be reconfigured in the future.
People told us they, at times, had to wait a long time for staff to respond to call bells. One person said, “They don’t come quickly. It’s a long-drawn-out thing. You might be lucky; you might be unlucky.”
Other people told us, “I do feel safe here and I am reassured.” Other comments included, “I have my needs met here” and "staff here are so caring.”
A relative told us they were able to speak up and felt issues were acted on. A person told us they felt involved in decisions about their care and treatment, which were explained well by staff. Another relative said, “It’s not unsafe but I am so involved with Mum’s care, if I have any issues, I speak to the manager, and she deals with it straight away.”