Beeches

The provider's safeguarding process was not always consistently applied, and an incident of alleged abuse was not notified to the CQC and local authority safeguarding team by the provider. This is something the provider is required to do.

People's living environment had improved since the last inspection and was now clean and hygienic. Staff had improved the hygiene and homeliness of some people's bedrooms, which we had raised concerns about at the last inspection. People were protected by the provider's COVID-19 infection prevention and control measures.

People's individual risks were identified by the provider and care plans were personalised and comprehensive. People were supported by the provider's multi-disciplinary care team who had increased their presence in the care home since our last inspection.

People's prescribed medicines were managed, recorded, and administered safely. People's individual risk assessments and care plans had been reviewed and updated to ensure they provided an appropriate guide for staff.

People were supported by staff who had received the necessary training to be able to safely meet their care needs. Staff knew how to support them safely and in line with their individual risk assessments and care plans.

People were supported to eat and drink enough to be healthy. Following a recent death of a person, the provider had reviewed and enhanced their support for people who may be at risk of choking on food.

People had access to various activities within the care home and also access to a vehicle for trips out to activities in the community.

People's relatives told us that communication with them, from the service, had recently started to improve.

Right Support People did not always receive person-centred care due to staffing issues; and some people's specific support needs were not always clearly identified in their care plans. The service enabled people to access specialist health care support from the provider's own in-house multi-disciplinary care team.

Right Care Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.

Right culture The service had recently started to become more open with external agencies and the families of the people they supported. However, that change in approach was not yet fully embedded. Staff did everything they could to avoid restraining people. The service recorded when staff restrained people, and the provider reviewed those incidents to see how they might be avoided or reduced.