Background to this inspection
Updated
1 February 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by two inspectors and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Beechwood – Care Home with Nursing Physical Disabilities is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used all of this information to plan our inspection.
During the inspection
We spoke with six people who lived at the home about their experience of the care provided. We spoke with eight members of staff including the registered manager, the deputy manager, care assistants and the chef.
We reviewed a range of records. This included three people’s electronic care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. These records were used to support our judgements.
Updated
1 February 2022
About the service
Beechwood - Care Home with Nursing Physical Disabilities is a residential care home which provides accommodation and personal or nursing care to adults with a range of support needs. The home can accommodate up to 27 people in an adapted building, across two floors. At the time of this inspection there were 17 people using the service.
People’s experience of using this service and what we found
People were happy with the care they received and felt safe living at the home. Staff were recruited safely and there were enough staff to keep people safe. Staff were trained to administer medicines safely and were assessed regularly to make sure they were competent. The home was clean and infection prevention and control measures were in place.
People were supported by staff who received an induction and a range of ongoing training, to ensure they had the right knowledge to support people effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by kind and caring staff, who knew people well. People were actively encouraged to be involved in decision making around their care. People were treated with dignity and respect, and their independence promoted.
Staff knew people’s needs and preferences, which meant people received personalised care that was responsive to their needs. Risks to people were assessed and minimised, to help them remain safe from avoidable harm. We found complaints were managed appropriately.
The service had a positive and inclusive culture. The provider regularly sought feedback from people and staff, in order to continuously drive improvements. A range of audits were carried out regularly to assess the quality of the service and to ensure people received good quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 14 August 2019). Since this rating was awarded the registered provider has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.