Archived: Beeches Care Home (Nottingham)

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they did not always work in partnership with people, to decide how to respond to any relevant changes in people’s needs.

Staff knew people well and were able to describe their individual needs and preferences. People’s care plans contained information to guide staff on how best to support them in an individualised way.

However, there were inconsistencies in the ongoing involvement of people in their care planning. Most people, and their relatives, told us they were not aware of being involved in care planning or any reviews of care. Although one person did tell us, “They come every so often to talk to me about care. I have a care plan that they give me to keep.”

The provider understood the diverse health and care needs of people and their local communities, care was joined-up, flexible and supported choice and continuity.

The home had developed a good working relationship with the local doctor’s surgery to ensure people had prompt access to healthcare.

Staff demonstrated a good understanding of people’s diverse health and care needs and our observations evidenced they effectively met people’s needs.

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The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People had communication care plans in place which guided staff on how best to communicate with them and provide information. The manager told us communication boards were available and used for people who required them. The provider was also able to share information in alternative formats, such as large print, where required.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Staff understood the importance of effective communication, they explained, “On communicating with peoplewho live at the Beeches Ispeak clearly and slowly to ensure that they can also see my lips move and that I amfacing them and that I go down to their level.”

A relative told us how they previously had issues and concerns; however, they had been dealt with and resolved by the new manager saying, “Everything I raised was dealt with within 2 or 3 weeks and has not reoccurred.”

Everyone we spoke with felt comfortable raising concerns, felt listened to and confident issues would be resolved. People praised the administrator for her responsiveness and stability provided to the home whilst changes had occurred.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

The provider had arranged for a minibus to enable people to get out into the community. People were supported to attend church services and shopping when they wanted to, in addition to organised weekly trips.

Staff ensured people were supported to access additional healthcare services when needed.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

The home manager described to us what changes they had made to improve people’s experience. For example, in order to ensure people who were previously unable to leave their rooms or beds, the provider had purchased adapted chairs to enable them to socialise in the communal areas and eat in the dining room.

A relative told us “In the last 3 months it has been much better, since the new manager. [Family member] now has same staff more regularly who know him and he knows.”

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

In situations where a person may be approaching the end of their life, staff said that maintaining dignity and respect at all times was a priority, alongside ensuring the person is as comfortable and pain-free as possible.

People had advanced care plans in place. Their wishes were recorded on the correct documentation, for example a ReSPECT form. Some people’s plans contained further details including information regarding their lasting power of attorney and which family members staff should contact.
Due to the sensitive nature of the topic of end-of-life care not all people or their families wished to discuss specifics in advance. Where people were comfortable sharing their wishes, these were documented, such as music choices and clothing preferences.