Beech Manor

Updated 4 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was conducted by one inspector.

Service and service type

Beech Manor House is a ‘care 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, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced. The inspection site visit took place on 24 February 2020

What we did before the inspection

Before the inspection we reviewed the Provider Information Return (PIR) the registered manager had sent to us. This is information we require providers to send us at least annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the other information such as notifications we held about the service and the provider. A notification is information about important events the provider is required to send to us by law.

During the inspection we spoke with four people, the registered manager, team leader, senior support worker and deputy manager. We reviewed four people’s care records and medicine administration records for four people. We reviewed three staff member’s recruitment, training and supervision records. We also checked records relating to the management of the service including quality audits and health and safety management records.

After the inspection, we received feedback from three relatives, two support workers, and one healthcare professional involved in the service.

Updated 4 April 2020

About the service

Beech Manor House is a residential care home that provides accommodation and personal care support for up to eight adults with mental health problems. At the time of our inspection seven people were using the service.

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

Staff were exceptionally caring and compassionate towards people. We saw instances of how staff had gone the extra mile to care and support people with their emotional needs.

People were safe at the service. There were systems and processes to safeguarding people from abuse; and staff knew the procedures to follow to report any concerns of abuse. People’s needs were met by enough numbers of staff who had undergone safe recruitment checks. Risks to people were managed effectively to mitigate risks identified. Staff knew people well and how to maintain their safety. Medicines were administered and managed safely, and records were maintained. The environment was safe, and clean. Staff followed good infection control procedures. There were systems in place to learn lessons when things go wrong.

People’s care needs were thoroughly assessed in line with recommended guidance, and their support planned and delivered in a personalised way. Care plans were developed with the involvement of people and relevant professionals. Regular reviews took place to ensure support delivered to people met their needs. People received food and drinks to meet their nutritional and dietary needs. People received support to maintain good health; and staff worked effectively with health and social care professionals.

Staff were trained, supervised and had the skills and knowledge to meet the needs of people they supported. The service had systems in place to enable a smooth transition when people moved between services. There were suitable facilities and adaptations available for people to use. Staff supported people to express their views. People were encouraged to follow their interests and develop daily living skills for independent living. People were encouraged to be as independent as possible

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood their responsibility under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People received care and support personalised to their individual needs. Staff communicated with people appropriately and met their communication needs. The service provided information to people in an accessible format.

People knew how to make a complaint if they were unhappy with the service. The views of people, relatives, staff and professionals were sought and used to develop the service. The quality of the service was regularly assessed and monitored though audits and checks. The service worked in partnership with external organisations to develop and improve the service.

You can read the report from our last comprehensive inspection on our website at www.cqc.org.uk.

Rating at last inspection and update:

The last rating for this service was Good (published 22 September 2017). At this inspection the service remained Good overall.

Why we inspected: This was a planned inspection based on the previous rating of the service.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.