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Inspection Summary


Overall summary & rating

Outstanding

Updated 22 August 2017

The inspection took place on 11 and 13 July 2017 and was unannounced.

The Beeches provides residential care for up to 44 people, some of whom may be living with dementia. At the time of this inspection there were 27 people living in the home. Accommodation is in a period building and people benefit from a number of communal areas and gardens.

There was a registered manager in post. 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.

All the people we spoke with during our inspection consistently talked of a service that went the extra mile to achieve an outstanding quality of life for people who lived at The Beeches. They told us people were cared for in an exemplary manner and that support was delivered in an exceptionally person centred way. Our inspection findings confirmed this.

Staff delivered care and support that epitomised the values set by the provider. People had been fully involved in the decisions around their care and support and staff had used innovative methods to achieve this. People’s past lives, wishes and values had been taken into account when supporting people and this had shaped how care was delivered. This had resulted in people’s individual needs being met in a dedicated, relevant and specialised manner.

People spoke of a service, staff and management team that showed immense kindness and thoughtfulness. This was brought about by a thorough understanding of those that used the service, what was important to them and a commitment to using this knowledge to support people in having an exceptional quality of life.

We were told, by people who used the service and relatives, that staff consistently demonstrated a compassionate, warm and caring approach and that they were able to adapt this to suit the individual needs of each person. Our observations confirmed this and we saw that the atmosphere of the home was one of warmth, joy and positivity. Staff were seen to consistently show respect, patience and understanding when supporting people. People told us that staff had an intuitive way of providing support and promoted choice and independence.

The service had gone to great lengths to meet people’s social and leisure needs and understood the positive impact this achieved. Individual and attentive support was delivered to meet these needs based on people’s wishes, aspirations, interests and hobbies and staff had a sound knowledge of these. People’s interests were also used to shape care and support in a way that empowered people.

The delivery of such high quality care had been achieved by robust quality monitoring systems, an engaged and motivated staff team, comprehensive staff training and support and a nurturing and fully involved management team. The provider understood the importance of all these factors and had demonstrated a commitment to not only achieving and sustaining this but continuing to improve. They used the opinions and suggestions of people who used the service, their relatives and staff to shape decisions and service delivery.

Reflective practice together with regular and meaningful audits had contributed to this. Sector wide information was used to further improve the service and best practice guidance was known and used. Quality monitoring was integral to the registered manager’s working practice and this was supported by visits from the regional manager a number of times each week. Staffing levels were determined by observation, feedback and speaking with people who used the service, their relatives and staff. This approach had been successful as there were enough staff to meet people’s needs in a prompt and very person centred nature.

The provider understood the importance of robust, yet positive

Inspection areas

Safe

Good

Updated 22 August 2017

The service was safe.

The effective systems in place meant that risks were well managed and mitigated. The provider understood the importance of robust health and safety management and ensured staff shared this understanding of responsibility.

There were enough staff to meet people’s individual needs in an unhurried, engaging and time appropriate manner. People received the support they required at the time they needed it.

Due to robust adherence to good practice guidelines, people received their medicines as the prescriber intended and the associated risks were fully mitigated.

Effective

Good

Updated 22 August 2017

The service was effective.

Staff received comprehensive training and support that resulted in dedicated and person centred care being delivered to a high standard.

The service had a good understanding of its responsibilities in regards to the Mental Capacity Act (MCA) 2005 and adhered to its principles.

People’s health and nutritional needs were met in a person centred, preventative and holistic approach. The service had built strong working relationships with other healthcare professionals in order to benefit the people who used the service.

Caring

Outstanding

Updated 22 August 2017

The service was outstandingly caring.

All the people we spoke with talked of exceptionally compassionate, kind and gracious staff that went the extra mile to care for people they knew especially well.

Staff had built trusting, respectful and warm relationships with the people who used the service and their family members. People told us the home felt like one big, happy family.

The service delivered outstanding end of life care in collaboration with those people that used the service, their families, staff and other healthcare professionals. The person receiving the care was at the heart of all actions and decisions.

Responsive

Outstanding

Updated 22 August 2017

The service was outstandingly responsive.

People had an exceptional quality of life. This was because the care and support they received was shaped around their individual social and cultural diversity, beliefs and values.

The service supported people’s individual hobbies and interests and were innovative in how these were met. Strong links with the local community had been built.

The service continually strived to improve and used people’s feedback and suggestions to ensure an inclusive service was delivered.

Well-led

Outstanding

Updated 22 August 2017

The service was outstandingly well-led.

The culture of the home was one of openness, warmth and inclusion and reflected the provider’s values. The people who used the service were at its heart, supported by staff who felt valued and empowered.

People spoke appreciatively of the home’s management team and their commitment and dedication to ensuring people had an exceptional quality of life.

The provider’s quality monitoring system had successfully ensured that a high quality service was being delivered and that it continued to improve. This was led by good practice and reflecting on sector wide information.