Beechdale House Care Home

We assessed five quality statements in the safe key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last assessment, which was requires improvement. The assessment of these areas indicated areas of improvement since the last assessment, our rating for the key question therefore has improved to good. Safety risks to people were managed well. Managers assessed and reviewed safety risks to people and made sure people, and those important to them, were involved in making decisions about how they wished to be supported. Medicines were managed safely. People received their medicines in the way they would wish, as they were prescribed, in a safe way. There were enough staff to support people with their identified needs. Managers reviewed staffing levels regularly to make sure there were always enough suitably skilled and experienced staff on duty. Staff received relevant training to meet the range of people’s needs at the service. Staff received support through supervision to support their continuous learning and improve their working practice. Managers made sure recruitment checks were undertaken on all staff to ensure only those individuals that were deemed suitable and fit, would be employed to support people at the service. There were processes in place to review incidents and then make improvements where required. Staff were provided with the opportunity to reflect after incidents, to ensure learning and improvement could occur.

We assessed one quality statement in the effective key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last assessment, which was good. The assessment of these areas indicated areas of improvement since the last assessment, our rating for the key question therefore remains good. Peoples needs and rights were supported. Peoples care and treatment was effective due to their health, care, well-being, and communication needs being assessed robustly. Peoples care plans are kept up to date with any assessments completed in a timely manner. Staff were aware of people’s preferences and respected these in a person-centred way. People were aware of their rights around care and treatment. Staff showed an understanding of the mental capacity act, including capacity and consent. Staff were aware of how to support someone with fluctuating capacity.

We assessed 2 quality statements in the caring key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection, which was requires improvement. The assessment of these areas indicated areas of improvement since the last inspection, our rating for the key question has therefore improved to good.

People were enabled to have choice and control and make decisions about how their support was provided. 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’s families and friends were free to visit Beechdale House and were made welcome. People were encouraged to take part in activities if they wished to do so. The service employed an activity coordinator, who had a programme of activities including trips out and exercises within the service. People’s birthday’s and sporting events were celebrated within the service.

We assessed three quality statements in the well-led key question and found areas of good practice. The scores for these areas have been combined with scores based on the rating from the last assessment, which was requires improvement. The assessment of these areas indicated areas of improvement since the last assessment visit, our rating for the key question has therefore improved to good. There were clear and effective governance, management, and accountability arrangements. Staff understood their role and responsibilities. Managers accounted for the actions, behaviours, and performance of staff. The systems to manage current and future performance and risks to the quality of the service took a proportionate approach to managing effectively. Data or notifications were consistently submitted to external organisations as required. Information was used effectively by the management team to monitor and improve the quality of care. Leaders implemented best practice guidance or equivalents to improve experiences and outcomes for people using services.