Beechwood Place Nursing 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 – 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 good. At this assessment the rating has remained 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. Comprehensive electronic assessments informed person-centred care plans covering areas including mobility, nutrition, oral health, communication, mental capacity, emotional wellbeing and future wishes. Assessments were regularly reviewed and updated using information from daily monitoring, health professionals and changes in people's needs. Staff told us the electronic care planning system provided accessible information which helped them understand and support people safely.

The provider planned and delivered people's care and treatment with them, including what was important and mattered to them, in line with legislation and current evidence-based good practice and standards. Care plans incorporated recognised assessment tools, including MUST, Waterlow, oral health assessments and Mental Capacity Act processes, alongside guidance from healthcare professionals. Staff completed training relevant to people's needs, including dysphagia, dementia, Parkinson's disease, end of life care and learning disability awareness. Records demonstrated care and treatment were reviewed and adapted in response to professional advice and changing needs.

The provider worked well across teams and services to support people and made sure important information was shared appropriately. Electronic care records brought together assessments, healthcare information, hospital passports and care planning documentation to support continuity of care and avoid duplication. Daily management meetings and regular reviews enabled nurses, care staff and other departments to respond promptly to changes in people's needs. Records evidenced effective partnership working with GPs, social workers, learning disability teams, Parkinson's specialists, dietitians and speech and language therapists.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Care plans contained detailed information about health conditions, monitoring requirements and specialist interventions, supported by timely referrals to healthcare professionals when concerns were identified. One person who had experienced a significant period of immobility was supported through a personalised rehabilitation approach resulting in improved mobility, greater independence and increased participation in daily life. A local GP described the service as, “proactive” in responding to people's changing health needs and promoting positive outcomes.

The provider routinely monitored people's care and treatment to continuously improve it and ensure outcomes met people's needs and expectations. Governance systems included care plan reviews, resident-of-the-day audits, falls analysis, nutrition monitoring and oversight of accidents, incidents and safeguarding concerns. Monitoring oversight enabled staff to identify changes in people's wellbeing and review care accordingly, including supporting one person to progress from being largely bedbound to mobilising daily and participating in social activities. Provider audits and management oversight supported continuous improvement and positive outcomes for people.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Care records included consent forms, mental capacity assessments, best-interest decision-making records and information about family, advocates and legal representatives where appropriate. Staff demonstrated an understanding of the Mental Capacity Act and records showed people were involved in decisions about their care whenever possible. We identified some opportunities to strengthen recording around consent and restrictive practices, and the provider took prompt action to improve documentation during the assessment.