The Beeches

Significant improvements were found at this assessment, and the provider was no longer in breach of regulations relating to safe and treatment, and good governance. People’s needs were assessed and reviewed regularly, and support plans reflected personal preferences and needs. Evidence-based and good practice approaches were embedded. Staff collaborated with external professionals which supported continuity of care. Health management was proactive, with access to routine and specialist services, and staff responded promptly to emerging concerns.Support plans outlined what mattered to each person and how staff could help them lead meaningful lives. Staff promoted choice and independence and knew those they supported well.

People were treated with kindness and compassion. The service had a good learning culture and people could raise concerns, which the manager investigated effectively. People were protected and kept safe from harm and staff made sure people understood their care and treatment to enable them to give informed consent. Staff understood and managed risks for the people they supported.

We also found the facilities and equipment met the needs of people, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training to maintain good-quality care. Staff managed medicines well and these were administered to people safely.

Since our last inspection, governance systems had improved. We found risks to people were managed, monitored and recorded appropriately. The manager had good oversight of people’s needs and the quality of information recorded and maintained in people’s care records, and records relating to the management of the service, were sufficiently detailed, up to date and accurate. The registered manager demonstrated a good understanding of their governance responsibilities in relation to assessing, monitoring, and managing the quality and safety of the service they provided.