22 January 2019
During a routine inspection
Beechfields is a care home providing accommodation and nursing care to up to 35 people aged 65 and over. At the time of the inspection, there were 18 people living at the home, some of who were living with dementia. The accommodation is provided in one building over two floors. There are three communal lounges, a dining area, a conservatory and a garden area that people can access.
People’s experience of using this service:
Improvements had been made and people received their medicines as prescribed. Risks associated with people’s care and the home environment were assessed and managed safely. Staff understood people’s needs and knew what actions to take to reduce any identified risks.
There were enough, suitably recruited staff who worked well as a team to ensure people received timely support. Staff received an induction and ongoing training and supervision to fulfil their role. Staff had a good understanding of how to recognise and report potential abuse. Any concerns raised were acted on by the registered manager in line with local safeguarding procedures.
Quality checks had been improved and there was greater oversight at the service. However, further work was needed to ensure systems were consistently effective and improvements sustained.
Staff had received training and supported people to have maximum choice and control over their lives. However, improvements were needed to ensure people’s consent to care was consistently recorded in line with the legal requirements.
Staff were kind and caring and had good relationships with people. They understood people’s needs and preferences and provided personalised care. People were involved in developing their care plans and work was ongoing to ensure they were kept up to date and reflected people’s needs and preferences accurately. There were opportunities for people to engage in activities that promoted their wellbeing.
People were supported to access other health professionals and have enough to eat and drink to maintain good health. Changes had been made to ensure people received the support and encouragement they needed with their meals. However, further improvements were needed to ensure people always received this in a timely way.
People and their relatives were positive about the improvements made at the service and were confident in the registered manager’s leadership of the staff. People knew how to raise any concerns and complaints and there was a procedure in place to manage this.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection:
Inadequate (report published 15/08/2018).
Why we inspected:
At our previous three inspections in in June 2017, February 2018 and June 2018, we rated the service as Inadequate and placed them in special measures. At each inspection we found repeated breaches of the regulations and insufficient improvements had been made by the provider. When services in special measures do not make the required improvements, we take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This inspection was carried out as part of our enforcement process to check for improvements and to review the ratings. We found the provider had made significant improvements although there remained a breach of the regulations in relation to governance at the service.
Enforcement :
You can see what action we have told the provider to take at the end of the full report.
Follow up:
We will continue to monitor the service closely to ensure the provider sustains the improvements made and improves the rating to at least Good.