You are here

Archived: Beech Close

The provider of this service changed - see old profile

The provider of this service changed - see new profile

We have not inspected this service yet

Inspection summaries and ratings from previous provider


Overall summary & rating

Requires improvement

Updated 2 February 2019

Beech Close Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to accommodate 42 older people; at the time of our inspection, there were 28 people living there.

At our last inspection in June 2016, this service was rated overall good. At this inspection, we found that the service had deteriorated and there were areas which required improvement, the service has received an overall rating of requires improvement.

The inspection took place on the 10 December 2018 and was unannounced.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of the inspection the registered manager was on a planned leave of absence, two registered managers from the provider's other services were covering in their absence with the support of an operational manager.

The systems in place to monitor the quality and standard of the service are not always effective. People’s experience of daily life at the home are not fully captured to enable the provider to address any shortfalls.

Staffing levels are not always sufficient to meet people’s physical, social and emotional care needs safe and in a timely way. People would like more activities to keep them stimulated.

We have made a recommendation for the provider to consider in relation to the deployment of staff.

People are supported by staff who are friendly, kind and compassionate but who sometimes lack the insight around ensuring people’s privacy and dignity is maintained.

Detailed care plans are in place, which enable staff to provide consistent care and support in line with people’s personal preferences and choices. End of life care plans need to be enhanced further.

People are supported to have maximum choice and control of their day to day lives and staff support them in the least restrictive way possible; the policies and systems in the home support this practice.

People have formed positive therapeutic relationships with staff and feel they are treated as individuals. Family and friends are welcome at any time and to take part in events at the home.

Staff are appropriately recruited and people are protected from the risk of harm and receive their prescribed medicines safely. Staff understand their responsibilities to keep people safe from any risk or harm and know how to respond if they have any concerns.

Staff understand the need to undertake specific assessments where people lack capacity to consent to their care and / or their day-to-day routines. People’s health care and nutritional are carefully considered and relevant health care professionals are appropriately involved in people’s care.

Staff have access to the support, supervision and training they require to work effectively in their roles. Development of staff knowledge and skills is encouraged.

The service has a positive ethos and an open culture. People know how to raise a concern or make a complaint and the provider has implemented effective systems to manage any complaints that they may receive.

Inspection areas

Safe

Requires improvement

Updated 2 February 2019

The service has deteriorated to requires improvement.

There was not always sufficient staff to meet people�s needs outside providing basic personal care.

Recruitment practices ensured that people were safeguarded against the risk of being cared for by unsuitable staff.

There were safe systems in place for the administration of medicines and people could be assured they were cared for by staff who understood their responsibilities to keep them safe.

Effective

Good

Updated 2 February 2019

The service remains good.

Caring

Requires improvement

Updated 2 February 2019

The service has deteriorated to requires improvement.

People�s dignity and privacy was not always maintained and protected.

Positive relationships had developed between people and staff. People were treated with kindness and compassion.

Responsive

Requires improvement

Updated 2 February 2019

The service has deteriorated to requires improvement.

People did not always have access to meaningful activities to stimulate them and avoid the potential for social isolation.

Care plans lacked some of the detail to provide people with the support they may need at the end of life.

People and their families could raise any concerns and had confidence they would be listened to.

Well-led

Requires improvement

Updated 2 February 2019

The service has deteriorated to requires improvement.

The systems in place to monitor the quality of care were not always effective. Shortfalls had not always been identified which meant that standards had not always been maintained.

There was an open and inclusive culture and people were encouraged and enabled to give their feedback.