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Beech Tree Total Care Ashford and SKC Good

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating


Updated 7 December 2019

About the service

Beech Tree Total Care Ashford and SKC provides personal care to people in their own homes. They were providing personal care to 150 people at the time of inspection both in the local community and in extra care housing. The extra care housing consisted of a number of housing courts where people could access support as part of their housing needs and access communal services such as a laundry and restaurant.

Everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

People and their loved ones told us they were kept safe by staff. Although staff knew how to keep people safe and how to manage risks, we found people’s health related risk assessments lacked detail. Staff took action on the day of inspection to resolve this. We made a recommendation about this.

At the last inspection we found medicines were not managed safely and the provider’s oversight had not identified the shortfalls we identified. At this inspection improvements had been made, medicines were managed safely. The provider’s audits now identified any issues and action was taken to address them in a timely fashion.

People were supported by staff who knew them well and were kind and compassionate. People told us staff listened to them and gave them care in the way they preferred. This was reflected in their care plans. Staff told us they had the support and training required to carry out their role and people said staff “knew what they were doing.”

Staff supported people to eat and drink well, encouraging then to stay hydrated. Staff encouraged or supported people to contact health care professionals as appropriate. Families told us they were kept informed about their loved one’s health and wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People and their loved ones told us they were involved in planning their care, including the time of support and the staff who supported them. Office staff held regular reviews with people to discuss the quality of their care and any changes in need.

The registered manager had been away from the service for some time at the time of the inspection. The head of service delivery was supporting staff and ensuring the quality of care offered was consistent and met people’s needs.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 13 December 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas


Requires improvement

Updated 7 December 2019

The service was not always safe.

Details are in our safe findings below.



Updated 7 December 2019

The service was effective.

Details are in our effective findings below.



Updated 7 December 2019

The service was caring.

Details are in our caring findings below.



Updated 7 December 2019

The service was responsive.

Details are in our responsive findings below.



Updated 7 December 2019

The service was well-led.

Details are in our well-Led findings below.