Beeches Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People's needs were assessed before they moved into the service to make sure staff could provide the care and support they needed. This assessment considered how people wanted to be supported and any needs in relation to culture, religion or ethnicity. Care and support was reviewed on a regular basis. A relative said, “My sister was involved in the care plan. They have taken over existing appointments which is perfect for the family as we all work.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care records were person-centred. Where people could not share their preferences themselves, family or advocates and other health and social care professionals were included in decisions.

Staff were aware of people’s specific dietary needs and how to meet them, for example people who were at risk of choking and needed a different consistency of food and thickened drinks.

Staff demonstrated an understanding of national tools and what they are used for and their purpose, this included screening people for malnutrition, obesity, or the risk of malnutrition.

The service has been awarded the certificate of Veteran Friendly Framework. This accreditation recognises staff's commitment and work in identifying and sharing best practice across care homes of the best standards of care for the armed forces community.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Staff worked well together and other health and social care professional when they were needed and acted on their guidance and advice.

Relevant staff could access care plan records and other information they needed to understand people’s needs to appropriately assess, plan and deliver the care and support needed.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff told us the management team were approachable. We observed staff working well as a team, supporting each other. Health and social care partners raised no concerns about how staff worked with them. The local authority team told us the management team had been receptive to their advice and support. One person said, “I can make my own choices, and the staff help me.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Care records were reviewed regularly. Where people were at risk of losing too much weight, their weight was regularly monitored and action taken if needed. Care plans were person centred and supported staff to provide the right care to people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were supported to have maximum choice and control over their lives. Staff supported them in the least restrictive way possible and in their best interests. Staff demonstrated a clear understanding of the principles of the Mental Capacity Act 2005 (MCA). The MCA provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. Staff had received training regarding the MCA and policies were in line with the principles of the MCA.

The registered manager had made significant improvements to bring practices in line with guidance since the last inspection. Records showed people’s mental capacity was assessed when needed. Best interest decisions were made on a person’s behalf when they did not have capacity to make decisions for themselves. However, further development was needed in the recording of these to make them person centred.