The Beeches (Seven Kings)

There was no registered manager in place. The manager was in the process of applying to register with us. 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.

People were supported in safe way and staff had a good understanding on the actions to take to reduce risks to their well-being. The provider had safeguarding policies and procedures.

There was enough staff employed to meet people's care needs. Recruitment procedures were robust to ensure staff employed were suitable to support people.

People were supported by staff that had been trained to administer their medicines safely.

The service was clean and tidy. Staff knew how to use safe infection control practices to help people avoid infections.

Staff received training and support to ensure they had the skills to provide people's support in a safe way. New staff received induction training to provide them with the skills to care for people.

The manager and staff understood their responsibility to comply with the requirement of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to make choices and had control over their lives. Staff respected people's privacy and dignity and people were encouraged to be independent. There were good interactions between staff and people who used the service. People and relatives said staff were kind and caring.

People were involved in planning the care and support provided by the service. They received health support from staff that knew them well and understood their individual needs. People's dietary needs were taken into account and their nutritional needs were monitored appropriately.

Records showed people had regular access to health and social care professionals. Staff had a good understanding of people's needs, choices and preferences, and were aware of how to meet people's individual needs as they changed. There were suitable activities for people to join in.

The provider had a complaints procedure which people could access and made aware of. The manager ensured that any issues raised were resolved to the satisfaction of the person.

The provider sought the views of people who used the service, staff, relatives and professionals and responded to them to help improve the service. There were regular audits carried out to ensure the quality of the service provided was maintained.

The five questions we ask about services and what we found