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Inspection Summary

Overall summary & rating


Updated 16 December 2017

Beechwood Gardens is registered to provide accommodation and personal care for up to 30 people. The home provides a service for older people living with dementia. There were 12 people living at the home on the day of our inspection visit. Seven people lived at the home permanently and five people were staying at the home for a short period following time spent in hospital.

We inspected Beechwood Gardens on 31 May 2017. The inspection was unannounced. At our previous inspection in February 2016 the service was in breach of Regulation 9, Personal Care, of the Health and Social Care Act 2008 because people were not receiving choice about their food or activities. Following our inspection the provider sent us a plan of how they would improve the choices people receive. At this inspection we found that improvements had been made and the provider was meeting the legal requirements.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission 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.

People, their relatives and staff said Beechwood Gardens was a safe place to live. Staff understood their role in keeping people safe and for reporting concerns about abuse or poor practice within the home. There were systems and processes to protect people from risk of harm. These included a risk management process, a thorough staff recruitment procedure and an effective procedure for managing people's medicines.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards DoLS). Staff had completed training in the MCA and understood how to support people to make decisions about their daily lives. Where people lacked capacity to make decisions about their care, decisions had been made in the person's best interests.

People told us staff were friendly and caring. Throughout our visit staff showed people kindness and treated people with respect. People were treated as individuals and were encouraged to make choices about their care. Staff protected people's privacy and dignity when providing care.

Staff had up to date information about people's care and a good understanding of people's needs and preferences. People's care records contained individualised information about how people liked to receive their care.

There were enough suitably trained staff to keep people safe and to meet people's needs. Staff received the training and support they needed to meet people's needs effectively. All staff had been trained to understand dementia so they could interact effectively with people living in the home.

People's health needs were monitored and people were referred to healthcare professionals when a need was identified. There were processes to ensure people's nutritional needs were met and people had enough to eat and drink during the day.

Visitors were welcomed and relatives and friends could visit at any time. There were processes in place for people and relatives to express their views and opinions about the home. People and relatives told us they were listened to and were confident they could raise any concerns with staff and the managers.

People told us they were happy with their care and had no complaints about the service they received. People who lived at the home, relatives and staff said the home was well managed. There were systems in place to monitor the quality of the service. This was through feedback from people and their relatives, staff meetings and a programme of checks and audits.

Inspection areas



Updated 16 December 2017

The service was Safe.

Staff knew what action to take if they had any concerns about people's safety or wellbeing. There were enough suitably skilled staff to meet people's needs safely and consistently. Staff understood how to manage identified risks to people's care and there were safe procedures for recruitment of staff and managing and administering medicines.



Updated 16 December 2017

The service was Effective.

All staff received an induction and training to meet the needs of the people who lived at Beechwood Gardens. Where people lacked capacity, managers and staff understood the principles of the Mental Capacity Act 2005 so people's rights were protected. Arrangements were in place to ensure people received good nutrition and hydration. People's health was monitored and healthcare professionals were involved to maintain people's health and wellbeing.



Updated 16 December 2017

The service was Caring.

There was a regular team of staff who people were familiar with and who knew how people liked to receive their care. Staff demonstrated they cared about people and respected their individual wishes. People were supported by staff in a way that maintained their privacy and dignity. People and relatives were involved in planning end of life care.



Updated 16 December 2017

The service was Responsive.

People were happy with their care and had no complaints about the service they received. Staff had a good understanding of people's individual needs, their preferences, and how they liked to spend their day. Staff were kept up to date about people's care needs through care records and a handover meeting at the start of each shift, which assisted staff to provide the care and support people required.



Updated 16 December 2017

The service was Well Led.

People, relatives and staff told us there was good management and leadership in the home. The managers and care staff understood their roles and responsibilities. Staff felt supported to carry out their roles and said the managers were available and approachable. The quality of service people received was regularly monitored through a series of audits and checks.