This unannounced inspection took place on 29 December 2016. Beeches Retirement Hotel provides care and accommodation for up to 20 people. 18 people were using the service at the time of the inspection.
The previous inspection of the service took place on 15 April 2014. The service met all the regulations we checked at that time.
There was a registered manager in place. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe at Beeches Retirement Hotel. Staff understood how to protect people from the risk of abuse and knew the procedure for reporting any concerns. Staff understood the provider’s safeguarding policies and procedures in place to protect people from potential harm. Staff had identified and assessed risks to people and had up to date information about how to support them safely. Staff recorded accidents and incidents and put plans in place to prevent a recurrence. There were arrangements in place to deal with foreseeable emergencies.
People’s support was provided by staff who were recruited safely. The provider followed a robust recruitment process to ensure staff were suitable to support vulnerable adults. There were sufficient staff to meet people’s individual needs safely.
People received the support they required to take their medicines safely. Staff administered and managed people’s medicines safely. The registered manager regularly audited the administration of medicines and ensured staff followed the provider’s medicines management procedures.
Staff had the relevant skills and experience to undertake their role. Staff received training and felt supported in their work. Staff received regular supervisions and yearly appraisals to monitor their performance and review their development needs.
People received support in line with the principles of the Mental Capacity Act 2005 and the requirements of the Deprivation of Liberty Safeguards. The service had received authorisations to deprive some people of their liberty in order to provide necessary care and to keep them safe. People gave consent to care and treatment.
People enjoyed the nutritious food provided at the service. Staff ensured people’s dietary needs and preferences were met. People were supported to maintain good health and wellbeing and accessed professional healthcare services when needed. The service was responsive in managing changes to people’s health.
People were treated with kindness and respect. Staff upheld and maintained people’s dignity, privacy and confidentiality. Staff knew people well and understood their individual needs. Staff took into account people’s views and experiences when they supported them. People were supported to maintain relationships important to them.
People’s care records contained sufficient information which staff used to plan and meet people’s individual needs. People, their relatives and healthcare professionals were involved in making decisions around people’s care and the support they received. People’s needs were reviewed and their care plans updated on a regular basis to ensure they remained effective. People’s care was person centred and provided as planned.
People received the support they required to maintain relationships important to them. People took part in activities they enjoyed and received the support to maintain their interests.
The registered manager asked people and staff for their views about the service and responded to any concerns they raised.
Staff were happy to work at the service and felt supported in their work by their colleagues and by the registered manager. There was a positive and transparent culture were people, their relatives and staff were encouraged to give their ideas to improve the service.
There were robust systems in place to monitor the quality of the service. The registered manager carried out checks on the care and support people received and took action to address any shortfalls.
People were provider with information on how to make a complaint and knew how to raise any concerns about their care. The registered manager had responded to complaints appropriately.
The service had close partnerships with the local community and other healthcare professionals to develop the service and to ensure people’s needs were met.