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Inspection Summary


Overall summary & rating

Good

Updated 28 July 2018

The inspection took place on 11 and 12 July 2018 and was unannounced.

Beech Tree House offers accommodation and personal care for up to 31 people. The service looks after older people and people who have a dementia related condition. At the time of our inspection there were 26 people living at the home.

Beech Tree House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home is required to have manager registered with the CQC. There was a manger who was registered with the CQC. During our inspection we were supported by a support manager and an area manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

At the last inspection on 07 June 2017, the provider was found to be in breach of breach of Regulation 12 of Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Safe Care and Treatment. We asked the provider to act to make improvements to the safe management and administration of people’s medicines and to ensure staff followed safe moving and handling practice, and this action has been completed.

Systems and processes were in place to ensure people received their medicines as prescribed. Medicines were managed effectively following manufactures guidance.

Care plans included assessments of people’s mobility and where people required assistance this was recorded and reviewed. Staff understood and practiced safe moving and handling techniques.

People told us they felt safe living at the home and staff understood how to recognise and report any signs of abuse.

Staff received training and received checks on their competency to ensure their skills and knowledge remained up to date to carry out their role and meet people’s individual needs.

The provider completed a range of checks and audits to maintain and improve the service.

We observed there were enough staff on duty to meet people’s needs. People confirmed they received care and support from regular care workers who they knew.

Staff had completed training on the Mental Capacity Act 2005 (MCA) and were able to discuss the importance of supporting people with their independence.

People received information in a format they could understand. Where people had communication difficulties, staff understood their needs and recognised their body language and expression.

The provider had systems and process in place to ensure care workers were appropriately recruited into the service and had the necessary skills and personality to support individuals with their everyday needs and preferences.

Care plans included information to ensure staff were informed and respectful of people's cultural and spiritual needs.

People were supported to maintain a healthy and balanced diet. Care plans contained details of people's preferences and any specific dietary needs they had, for example, whether they were diabetic, had any allergies or religious needs.

Care workers had a good understanding of people's needs and were kind and caring. They understood the importance of respecting people's dignity and upholding their right to privacy.

There was information available on how to express concerns and complaints. People were encouraged and supported to raise their concerns and processes were in place to ensure these were responded to.

An activities coordinator supported people to live fulfilled meaningful lives and enjoy activities that interested them.

Inspection areas

Safe

Good

Updated 28 July 2018

The service was safe.

People received support to take their medicines safely as prescribed.

Risks associated with people’s care and support were managed safely without unnecessary restrictions.

Staff had received training to keep people safe from abuse.

Effective

Good

Updated 28 July 2018

The service was effective.

Staff were supported to ensure they had the appropriate skills and knowledge to carry out their role.

Peoples were supported to understand and make informed decisions. Where they were assessed as not having capacity to do this, the provider followed processes under the Mental Capacity Act.

People were supported to maintain and improve their health and wellbeing. Any dietary needs were assessed and supported.

Caring

Good

Updated 28 July 2018

The service was caring.

People were treated with dignity and respect by staff who understood the importance of this.

People were involved in decisions about their care and support.

Staff understood how to communicate with people in a way they understood.

Responsive

Good

Updated 28 July 2018

The service was responsive.

Care plans included information to ensure staff provided care and support that was individualised.

People were supported to live meaningful lives and enjoy activities of their choosing.

People were supported to raise any concerns or complaints and systems were in place to record and learn from any outcomes.

Well-led

Good

Updated 28 July 2018

The service was well-led.

Audits and checks were completed to maintain and improve the service.

The provider maintained good links with other health professionals to maintain best practice and support people with their individual needs.

The provider completed consultations and used feedback to help shape the service.