Archived: Beeches Manor

Updated 6 January 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 8 and 9 December 2015. One inspector carried out the inspection, which was announced. We gave the service 48 hours' notice because the location provides a domiciliary care service and we needed to make sure someone would be in the office.

Before the inspection the service completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the PIR and at all the information we had collected about the service. This included previous inspection reports and notifications the registered manager had sent us. A notification is information about important events which the service is required to tell us about by law.

During the inspection we spoke with two people using the service and four care workers. People were not always able to give us details of what it was like to receive a service from Beeches Manor. However, they were able to tell us their views on what was happening at the times we spoke with them. We also spoke with the head of services and a peripatetic manager who were present at the inspection and had knowledge of the service. We observed people and staff working together during the two days of our inspection.

We looked at four people's care plans, daily records and medication administration records. We also looked at the recruitment files of four care staff and staff training records. We saw a number of documents relating to the management of the service. For example, ongoing risk assessments, the continuing improvement plan for the service and complaints and compliments records.

Following the inspection we received feedback from five relatives and four health and social care professionals.

Updated 6 January 2016

This inspection took place on 8 and 9 December 2015 and was announced. We gave the service 48 hours' notice because the location provides a domiciliary care service and we needed to make sure someone would be in the office. This was the first inspection of the service since registration.

Beeches Manor provides personal care to people living in their own homes. At the time of our inspection there were 10 people using the service. People had their own flats in an extra care setting at the same address as the location office. Not everyone living at the complex of flats receives personal care. This inspection and report only relates to the10 people receiving the regulated activity of personal care. Those not receiving personal care are outside the regulatory remit of the Care Quality Commission (CQC).

The service had a registered manager. A registered manager is a person who has registered with the 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 time of our inspection the registered manager was not available. Instead, the head of services was present throughout the inspection representing the provider.

People were protected from risks to their health and wellbeing and were protected from the risk of abuse. Staff received training to enable them to do their jobs safely and to a good standard. They felt the support received helped them to do their jobs well.

People were treated with respect and their privacy and dignity was promoted. Staff were caring and responsive to the needs of the people they supported. Staff sought people's consent before working with them and encouraged and supported their independence.

People's health and well-being was assessed and measures put in place to ensure people's needs were met in an individualised way. Medicines were managed well and staff administering medicines were only allowed to do so after passing their training and being assessed as competent. Where included in their care package, people were supported to eat and drink enough.

People benefitted from receiving a service from staff who worked well together and felt seniors and managers worked with them as a team. Staff were confident they could take any concerns to the management and would be taken seriously. Relatives were aware of how to raise a concern and told us they would speak to the manager and were confident appropriate action would be taken.

Relatives felt the service was well managed. Health and social care professionals felt the service delivered good quality care and worked well in partnership with them.