Archived: Beeches Care Home (Nottingham)

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

This service scored 70 (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 always treated people with kindness, empathy and compassion and respected their privacy and dignity. Staff treated colleagues from other organisations with kindness and respect. We observed kind interactions between staff and people. Staff said, “I love my job, knowing that I have made a difference to an individual’s day, knowing that I havehelped them listened, laughed,monitored and tried my best for them. People said, “I like it very much here they are really friendly,” and “They always knock on my door even when I have the door open, they check before they come in.”

The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. They took account of people’s strengths, abilities, aspirations, culture and unique backgrounds and protected characteristics.

Staff said, “to support individuals’ quality of life in both the short and long term, it is important to ensure that all needs and preferences are understood and met. Any changes should be documented and reported to the relevant bodies.” Staff emphasised encouraging independence, supporting a healthy and nutritious diet, and promoting adequate hydration. They also highlighted the importance of liaising with people, their families, and friends to encourage participation in activities. This ensured each person’s dignity and privacy was maintained, while respecting and promoting their choices and decisions, was considered essential.

People using the service shared mixed feedback. One person said, “Yes, they ask and discuss things before doing anything, though they know me well and know what I like.” Another commented, “They do come and talk to me, but they don’t have time to sit down and talk to me properly.”

Family members provided positive feedback. One relative said, “[Family member] tells me she is highly delighted. They always speak and chat to her, pass by her door and say hello—she loves that. Yes, she is safe. She has friends there. There are so many staff who say hello; I have no concerns at all.”

People’s life histories were available for staff to review. This enabled staff to gain insight into individuals’ backgrounds and interact with them in a more personalised and meaningful way.

The provider promoted people’s independence, so people knew their rights and had choice and control over their own care, treatment and wellbeing.

Staff understood the importance of empowering people to be as independent as possible and to give them opportunities to make choices and have control over their day-to-day activities. Staff explained, “Each individual’s needs are different, and the level of support can vary. We try and encourage an individual to be as independent as possible, to follow their instructions, to guide them and support them as much or as little as need.”

People told us, “I can get up and go to bed whenever I want. I can choose what I do,” and “I go out with my friends quite often and next month I am going to a music concert in Manchester.”

The home had an activity coordinator who arranged different events and activities based on what people interests and preferences were, these included weekly trips out in a minibus, pet therapy and meeting people’s religious needs.

The provider listened to and understood people’s needs, views and wishes. Staff did not always respond to people’s needs in the moment or act to minimise any discomfort, concern or distress.

We observed staff to mostly be attentive to people’s needs and support them in a caring way. However, we did observe instances where they did not promptly support people with their immediate personal care or pain relief needs. People did speak positively about staff, a person told us, “I sometimes need my pad changing and they come quickly. The standard they work to is not more than 10 minutes. It is usually much less than 10 minutes.”

The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care.

Staff told us they felt supported by the management team and clinical lead. Staff said, “The service supports well-being through supervision, open-door management and team support,” and “Management is supportive. I feel able to raise concerns and ask for guidance when needed.”