Background to this inspection
Updated
2 July 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One inspector, one assistant inspector and an expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. In this instance a family member receiving care in a residential setting.
Service and service type:
Beech Dene is a care home. People in care homes receive accommodation and nursing or personal care. 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 took place on 30 May 2019 and was unannounced.
What we did:
Before our inspection visit we also reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services.
We spoke with four people who lived at Beech Dene and four visitors. In addition, we spoke with the registered manager, deputy manager, one senior carer, one carer and the cook.
We reviewed a range of records. This included two people’s care and support plans and medication records. We confirmed the safe recruitment of two staff members and reviewed records relating to the provider's quality monitoring, health and safety and staff training.
Updated
2 July 2019
About the service:
Beech Dene residential home is registered to provide accommodation and personal care for up to a maximum of 35 people some of who may be living with dementia. At the time of our inspection there were 34 people living at the home.
People’s experience of using this service:
People did not always receive safe support with their medicines. Medicine records were incomplete and in some instances the directions for their use was missing.
The provider did not complete regular checks to ensure people received their topical creams as expected. However, staff members had been trained and assessed as competent to support people.
People were at risk of communicable illnesses as the provider had not imbedded effective infection prevention and control systems.
Risks to people, associated with where they lived, had not always been effectively identified or mitigated. However, the provider had assessed risks to people associated with their care and support.
People were not always supported by enough staff members so meet their needs in a timely way.
The provider did not have effective quality monitoring systems in place to identify and drive good care.
People were protected from ill treatment and abuse as the staff team had been trained to recognise potential signs of abuse and understood what to do to safely support people.
Staff members were aware of the necessary action they should take in the event of an emergency.
The provider supported staff in providing effective care for people through person-centred care planning, training and one-to-one supervision. Staff members were knowledgeable about the relevant legislations that informed their practice and supported the rights of those receiving services at Beech Dene.
People were supported to have choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems supported this practice.
People were supported to access additional healthcare services when required.
People were supported to maintain a healthy diet by a staff team who knew their individual preferences.
People received help and support from a kind and compassionate staff team with whom they had positive relationships.
People were supported by staff members who were aware of their individual protected characteristics like age, gender and disability.
People were provided with information in a way they could understand. The provider had systems in place to encourage and respond to any complaints or compliments from people or those close to them.
The provider, and management team, had good links with the local communities within which people lived. The provider had systems in place to ensure the Care Quality Commission was notified of significant events in a timely manner and in accordance with their registration.
More information in Detailed Findings below.
Rating at last inspection:
At the last inspection Beech Dene was rated ‘Good’ (Published 9 December 2016).
Why we inspected:
This was a planned inspection based on the rating at the last inspection, ‘Good.’
Follow up:
We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk