Beech Dene Residential Care Home

Beech Dene Residential Care Home is a care home providing personal care to 32 people at the time of the inspection. The service can support up to 35 people.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care for or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support

The environment was not always safe for people because checks had not identified areas where people may have been at risk of harm, such as a lack of window restrictors and large openings made in some radiator covers. Refurbishment was on-going to make the home more reflective of the needs of the people who lived there. People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support best practice. Medicines were not always safely managed. People were supported to access support from other organisations to achieve positive health outcomes.

Right Care

Some improvements were needed to people’s care plans; although they were person-centred, these were not always updated in a timely way and not all health risks were assessed and planned for. Some aspects of people’s dignity and privacy had not fully been considered by the registered manager. Not all people sharing bedrooms had been fully involved in the decision-making process. People and relatives told us they felt staff were caring and respectful. Staff knew people and their needs well. There were enough staff who received appropriate training and this was updated as needed. This included how staff recognise and report abuse to keep people safe.

Right Culture

The registered manager was responsive to our feedback and took some immediate actions to ensure people were safe from environmental risks. People, relatives and staff were positive about the management team. Staff promoted a caring environment for people. Staff felt supported in their role and felt able to raise concerns if needed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 29 October 2021 and this is the first inspection.

The last rating for the service under the previous provider was requires improvement, published on 2 July 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement

We have identified breaches in relation to people’s dignity and respect, consent not being obtained, environmental risks in the building as well as the overall governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.