Beckfield House Residential Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.   At our last inspection we rated this key question requires improvement. At this inspection the rating has remained requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.  At our last inspection the service was in breach of legal regulation in relation to the way people’s medicines were managed. Although there had been some improvements made, the service remained in breach of legal regulation in relation to the safe management of medicines.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.   At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant that peoples outcomes were consistently good and that feedback from people and their relatives confirmed this.

Caring – this means we looked for evidence that the service involved people and treated them with compassion, kindness, dignity and respect.   At our last inspection we rated this key question good. At this inspection the rating has remained good.   This meant people were supported and treated with dignity and respect; and involved as partners in their care.

Responsive – this means we looked for evidence that the service met people’s needs.   At our last inspection we rated this key question requires improvement. At this inspection the rating has improved to good. This meant people’s needs were met through good organisation and delivery.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question requires improvement. At this inspection the rating has remained required improvement.

This meant the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.  At our last inspection the provider was in breach of legal regulation in relation to their governance. At this inspection not enough had been done and the provider was still in breach of this regulation.