Beechwood Residential 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 did not rate this key question. 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 71 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

At the previous inspection, we found people’s needs had been assessed. However, they had not been subject to regular review. This was a breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014. At this inspection we found that people’s assessed needs were subject to review and the provider was no longer in breach of this regulation.

Care plans were in place covering people’s assessed needs. People had been involved in devising their care plans to help ensure they were person-centred. They covered needs including personal care, mental and physical health and medicines. They also covered needs around religion, but they did not include needs related to other equality and diversity needs. We discussed this with the manager who gave a commitment to revise care plans so they covered those needs.

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.

The provider was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way, in line with the person’s wishes, and they were involved in their assessment of need. Professionals were also involved in planning care to help ensure best practice was followed.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Systems were in place to enable staff, teams and services to work together. People were involved in developing their care plans and worked with staff and relatives to do so. The service also worked with other organisations, such as health and social care professionals, to help ensure people’s needs were met.

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.

People were supported to live healthier lives. Records showed people had access to various healthcare professionals and people confirmed this. Health Action Plans were in place setting out person-centred support to people about their health. Hospital Passports were also in place to provide guidance to hospital staff in the event of the person being admitted to hospital. We saw people were able to eat a healthy, balanced and nutritious diet. A staff member told us, “This is the summer, so I will be making sure they [people] get more drinks.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Staff told us how they supported people to achieve positive outcomes on a daily basis through promoting people’s independence in doing everyday tasks which gave people a sense of purpose. Staff held monthly keyworker meetings with people which helped to monitor that people were receiving care in line with their assessed needs.

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

People were asked to consent to the care and support they received which included support they needed with personal care and the management of their finances. Where people needed support to make decisions the provider involved advocates who were able to act on behalf of the person as an independent voice. Staff understood what consent meant, 1 staff said, “I let the person decide, give them time to make their choices and not force them to do anything, especially things they do not want to do and I am always looking to think about how the people we support can make even more decisions for themselves.”