We carried out a review of the data available to us about Beechwood Grove on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Beechwood Grove, you can give feedback on this service.
Beechwood Grove provides accommodation and nursing care for up to 60 older people, who lived with a range of general health problems, such as stroke, dementia, diabetes, heart problems, Parkinson’s disease and general mobility problems. At the time of the inspection there were 56 people living at the home. Beachwood Grove is a purpose-built home over three floors with level access throughout for those with mobility problems. It is divided into three units, residential unit, memory loss unit and a nursing unit.
People’s experience of using this service
Systems and processes to assess, monitor and improve the quality and safety of the service provided were in place. However, there were areas that needed to be developed to include the actions taken and outcome. This was discussed during the inspection and action taken immediately. For example, incident and accident forms were completed but there was a lack of documented analysis and follow up to prevent a re-occurrence or to mitigate risk. From talking to the registered manager and staff we were assured that action had been taken by staff to mitigate risk. There was a lack of oversight on care delivery in respect of end of life care. Whilst there was evidence of clinical checks, the care delivered was not person centred or dignified during the inspection. This was shared with the deputy manager who took immediate action. We were assured of actions taken and of the sessions booked with staff to reflect on the observations shared with the management team.
People felt safe at the home and when staff provided their care. One person said, “I feel safe here and it’s a lovely place to live.” Another said, “Really can’t complain, I’m safe and well looked after.” Care plans and risk assessments meant peoples’ safety and well-being were protected. People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We observed medicines being given safely to people by appropriately trained staff, who had been assessed as competent. The home was well-maintained and comfortable. There were enough staff to meet people's needs. Safe recruitment practices had been followed before staff started working at the service.
The home had an effective management team which provided good leadership for staff and communicated effectively with people, relatives and professionals. Staff were positive about their roles and felt valued for the work they did.
The views of people who lived at the home, their relatives and staff were encouraged and acted upon by the management team. People and their relatives felt able to raise any concerns they had and were confident these would receive an appropriate response.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (Published 25 June 2019)
Why we inspected
The inspection was prompted in part due to concerns received about the delivery of care, management of confidential information and poor culture. A decision was made for us to inspect and examine those risks, looking at safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We found no evidence during this inspection that people were at risk of harm from this concern.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
The home had been divided into three units. Each unit had its own dedicated staff team. This meant staff had been able to successfully contain an outbreak of Covid-19 to one unit.
The home was clean and tidy. There was a cleaning schedule which ensured all areas of the home were cleaned in line with current guidance. In addition, all staff were responsible for cleaning high touch areas, such as door handles and key pads, after they had used them. There were alcohol wipes and foot operated bins throughout the home to ensure staff could do this with ease.
People who had tested positive for Covid-19 were cared for, as far as possible, in their bedrooms to minimise the risk of spreading the virus. Staff spent time with people to help ensure they did not feel isolated.
There were two dedicated visiting areas at the home, these included partitioned screens to help keep people safe. The home was currently closed to visitors. The provider and registered manager were aware of the impact this had on people and their families. They supported people to maintain contact through phone and video calls.
Staff were provided with adequate supplies of personal protective equipment (PPE) and staff were seen to be wearing this appropriately. Guidance for staff about how to put this on and take it off were displayed throughout the home. Regular testing for people and staff was taking place.
Further information is in the detailed findings below.
Beechwood Grove provides accommodation and nursing care for up to 58 older people, who lived with a range of general health problems, such as strokes, dementia, diabetes, heart problems, Parkinson’s disease and general mobility problems. At the time of the inspection there were 58 people living at the home. It is a purpose-built home over three floors with level access throughout for those with mobility problems. It is divided into three units, residential, memory loss unit and a nursing unit.
People’s experience of using this service:
People told us they experienced safe care. People and their relatives said of the service, “They look after me very well, I feel safe here and comfortable.” A relative said, “The manager and all the staff are very approachable, easy to talk to and always available for a chat.” We observed, and people told us that staff met their needs with care and kindness. One person said, “The staff are all very caring, very polite and respectful.”
Training, policy guidance and safe systems of work minimised the risk of people being exposed to harm. Staff understood how to safeguard people at risk and how to report any concerns they may have. People’s needs and the individual risks they may face were assessed and recorded. Incidents and accidents were recorded and checked or investigated by the registered manager to see what steps could be taken to prevent these happening again. This ensured lessons were learnt.
There were policies and procedures in place for the safe administration of medicines. Registered nurses and senior care staff who gave medicines, followed these policies and had been trained to administer medicines safely.
Safe recruitment practices had been followed before staff started working at the service. Staff were deployed in a planned way, with the correct training, skills and experience to meet people’s needs. Nursing staff received clinical supervision and training.
The premises were well-maintained and clean. Infection control measures were followed.
Care plans had been developed to assist staff to meet people’s needs in an effective way. Staff applied best practice principles, which led to effective outcomes for people and supported a good quality of life. The care plans were consistently reviewed and updated. Referrals were made appropriately to outside agencies when required. For example, GPs, community nurses and speech and language therapists (SALT).
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. The care offered was inclusive and based on policies about Equality, Diversity and Human Rights.
People’s nutritional needs were monitored and reviewed. People had a choice of meals provided and staff knew people’s likes and dislikes. People gave positive feedback about the food. Comments included, “The food is usually good,” “Good quality, always fresh fruit available,” and “Good food”
Staff always treated people with respect and kindness and were passionate about providing a quality service that was person centred.
The care was designed to ensure people's independence was encouraged and maintained. Staff supported people with their mobility and encouraged them to remain active. People were encouraged to live a fulfilled life with activities of their choosing and were supported to keep in contact with their families.
People were involved in their care planning. End of life care planning and documentation guided staff in providing care at this important stage of people’s lives. End of life care was delivered professionally and with compassion.
People, their relatives and health care professionals had the opportunity to share their views about the service. Complaints made by people or their relatives were taken seriously and thoroughly investigated.
The provider used a range of quality assurance systems to check people and their relatives were satisfied and confident in the standard of care provided within the home. The service had systems to continuously monitor, assess and improve the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This is the first inspection since Beechwood Grove was registered in June 2018.
Why we inspected:
This inspection took place as part of our planned programme of inspections.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.