The Beeches

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We did not look at all quality statements for Safe at this assessment. The service was safe. This rating uses some scores from the previous inspection. The service followed robust recruitment procedures and enough staff were employed. People received safe care and treatment from staff who understood their healthcare needs. Staff knew how to safely support people around their individual risks. Staff had recently attended training to reduce the risk of choking and could explain how this training was beneficial in their role.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

The staff team supported people with varied communication needs, some people used non-verbal communication through body language. We were shown observation feedback sheets completed by staff who observed activities taking place to ensure they understood if the person was enjoying the activity or not. Staff recorded how the person responded throughout the activity and used this information to inform activity plans. This demonstrated the staff’s commitment to listening to people who use the service.

The registered manager had a good understanding of safeguarding and their responsibility to report notifiable incidents. The registered manager said although there had not been any safeguarding concerns at The Beeches they did know what to report and how. The registered manager said the priority would always be to remove immediate risk.

There were easy read posters created by the registered manager that informed people how to make a complaint. The staff team spoke about the day to day processes the service had in place to safeguard people, such as sharp objects were locked away and health and safety checks undertaken. One staff member explained safeguarding matters and said they would report concerns to the local authority to investigate and if this failed, they would whistle blow.

Some people were aware of measures in place to keep them safe. An example was peoples’ money was locked away and managed for them by the provider. We observed people being involved in signing out their money and their independence being promoted by staff encouraging them to carry their own money in their wallet for personal shopping.

The registered manager told us, “There is a need to anticipate risk for people and put measures in place to mitigate risks before they happen. We try to involve people to understand the risks and if they lack capacity, we will involve their families in decision making.”

People’s care plans were detailed and incorporated risk assessments. People had a wide range of risk assessments in place that included, medicines management, finance, community access and eating and drinking. Staff told us they risk assessed environments for hazards as part of their normal practice.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

A family member said, "I feel the staff are well placed here to manage [relative’s] emotional needs. The staff team are really good, they ring or face time when it suits [relative] which I really appreciate.” Another family member said, “Collaborative working with external health professional is really good but sometimes better communication is needed with families when changes are made.”

The registered manager told us the service had consistent staffing. One staff member said, “I work here because it ticks all the boxes, I can rely on everyone.” Another staff member said, "I love working here, you get out of the day what you put into it, if you want to come to work and have fun then you will and people we support will have fun too.”

We observed staff treating people kindly and working in a person centred way. Staff spoke passionately about their role and the people they support. One staff member said, “ I really wanted to work with people where I could help them achieve. I love the interactions and to make families feel safe knowing their loved ones are cared for.”

Staff training was reviewed to ensure staff had the knowledge and skills to meet people's needs. Staff were mostly up to date with training. Staff were recruited following a robust recruitment process and a Disclosure and Barring Service (DBS) check. DBS provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.