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Beechcroft Nursing and Residential Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 12 February 2019

This comprehensive inspection took place on the 12 and 13th December 2018 and was unannounced. At our previous inspection in July 2017 the overall rating was ‘requires improvement.’ We had found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to, improvements needed for safe care and treatment for medications and improvements needed for governance systems within the service to develop effective clinical leadership. Following the inspection in July 2017 the provider implemented an action plan to show what they would do and by when to improve the service. At this inspection we found that the actions had been met and the provider was no longer in breach of these regulations.

Beechcroft Nursing and Residential Home is a single storey care home located in the Palacefields area of Runcorn close to local shops, pubs and the local church. The home provides accommodation for up to 67 people. It is divided into two units, a nursing unit and a residential unit.

At the time of our inspection visit there were 61 people living in the home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided.

The service has 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.

People who used the service and relatives had a positive attitude about the service being delivered and the standard of care and support provided by the staff team. People were treated with respect, consideration and kindness.

Staff supported people to take their medicines safely and as prescribed. The provider had taken appropriate on-going actions to show continued improvements to the management of people’s medications.

People were protected from potential harm and abuse by trained staff who were knowledgeable of local safeguarding procedures. Updates were needed for some staff with training and record keeping.

There was mixed feedback regarding staffing levels. The registered manager was confident that staffing levels were increased when they identified a need to do this to meet the needs of people at the service. We recommend the registered provider includes staff, people receiving support and relatives in their assessments of staffing levels so they are fully informed and consulted about the staffing levels provided.

The service was clean and tidy. We recommend the service reviews all areas of the building and refers to published guidance in developing services and their environments to meet people’s needs with dementia.

People were referred to appropriate health and social care professionals when necessary to ensure they received treatment and support for their specific needs.

People were supported by a team of staff that had received training and support to maintain their skills and knowledge in order to meet the needs of the people they supported.

Information and arrangements were in place for the staff team to respond to concerns or complaints from people using the service and their representatives.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrict way possible. Staff had followed the Code of Practice in relation to the Mental Capacity Act 2005 (MCA). The manager submitted notifications following this inspection to show updated information regarding authorisations granted by the local authority.

There were detailed systems in place to monitor the quality and safety of the service. Staff spoke positively about the support they received from the registered manager. They said that the registered manager was suppo

Inspection areas

Safe

Good

Updated 12 February 2019

The service was safe.

Health and safety was well managed with detailed checks in place to safely manage the building.

Medicines were being managed safely. Staff had ¿received medicines training to ensure they were competent and skilled in this topic.

Recruitment procedures were well managed to minimise the risk of unsuitable people being employed to work with vulnerable people.

Effective

Good

Updated 12 February 2019

The service was effective.

People's nutrition and hydration needs were met. People enjoyed their meals but some wanted more choices on offer.

Staff received appropriate training to meet people's needs.

Consent was sought from people who used the service before providing care and treatment. Where a person lacked capacity to consent, staff acted in accordance with the Mental Capacity Act 2005.

Caring

Good

Updated 12 February 2019

The service was caring.

People were treated with respect and kindness.

We observed positive interactions between staff and people who used the service. The atmosphere in the home was calm and relaxed.

Responsive

Good

Updated 12 February 2019

The service was responsive.

People were involved in decisions about their care and support.

A complaints procedure was in place and people were aware of how to make a complaint if needed.

People's care plans were centred on their individual needs and preferences and were kept under regular review.

Well-led

Requires improvement

Updated 12 February 2019

The service required improvement in being well-led.

People were complimentary about the overall management of the service.

Some aspects of auditing and record keeping needed continued review to show oversight in areas such as, staffing levels, notifications for authorisations, the development of the environment, menus and choices offered within the service.