Archived: Beeches Care Home (Nottingham)

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 rated this key question requires improvement. 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 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider had introduced an electronic system for pre-admission to ensure the service was aware of people’s needs before admission and were able to meet them.

People’s needs were assessed and documented in a personalised way in peoples care plans. For example, where people lived with diabetes, the management and support required was reflected throughout care plans rather than in a separate diabetes care plan and detailed all the information required for staff to support people safely and effectively.

Most people did not remember whether they had been directly involved in a review of their care plans. However, families told us they were involved in the pre-admission process to ensure needs were assessed and known.

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.

People were supported with eating and drinking, we observed people had access to cold drinks throughout the home and were offered hot drinks throughout the day. A person told us, “The food is lovely now, better than it used to be, we have a new cook and she’s good.”

Staff used recognised assessment tools to evaluate risks and applied the Abbey Pain Scale, which is used to identify pain in people who were unable to verbalise their needs.

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.

The clinical lead described a good working relationship with the local GP practice who were responsive to the needs of the people living at the home. A healthcare professional spoke positively about good communication and appropriate referrals, with staff following advice received from them.

Staff told us they worked well as a team to ensure safe, quality care was delivered to the people they supported.

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 told us they were supported with their health and wellbeing needs. A person told us, “I am a diabetic, so I get my feet done regularly,” another said, “I go to the hospital regularly for eye checks, I also get injections in my eyes when I need them.”

People had oral health care plans and were supported to maintain good oral hygiene and health.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

We saw evidence of effective wound management resulting in positive outcomes for people. Our observations showed improvement in people’s presentation since our last assessment, for example people who had displayed anxiety and agitation previously were now much more relaxed and sociable, staff also confirmed these improvements in people.

A relative told us, “[Family member] used to be on thickeners but now can drink normal liquids and proper food. The staff have helped her with this for sure. [Family member] is improving all time."

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

Consent for care and treatment was documented in people’s care plans. People told us staff asked for their consent prior to supporting them. A person explained, “They come in and say is it ok for me to do this or that, they will always check.”