Beechcroft Nursing and Residential Home

Updated 2 November 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Beechcroft Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Beechcroft is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We looked at 9 people's care and support records and 12 people's medicine administration records. We spoke with 3 people who used the service and 6 family members to gather feedback about the standard of care provided. We spoke with 7 care staff and 2 nurses and gathered additional information from the manager, clinical lead and director of operations.

We looked at a range of other records related to the overall management of the service; this included recruitment files for 4 staff recruited since our last inspection.

Updated 2 November 2023

About the service

Beechcroft Nursing and Residential Home is a single storey purpose-built care home providing accommodation and nursing and/or personal care to up to 67 people. At the time of our inspection there were 46 people using the service.

People’s experience of the service and what we found

Risks to people's health and safety had been assessed and staff took action to keep people safe. However, we have made a recommendation regarding care plans and risk monitoring charts.

Whilst observations showed there enough staff to meet people's needs and keep them safe, we received mixed feedback from people, family members and staff regarding staffing levels. We have made a recommendation regarding this.

People's medicines were managed and stored safely and records relating to medicine administration were completed accurately. People were protected from incidents of concern or abuse and accidents and incidents were reviewed and analysed to ensure lessons were learnt.

Checks were completed on the environment and equipment used by people to ensure it remained safe. The home was clean and hygienic. Staff responsible for the cleanliness of the service completed regular cleaning tasks. Staff had access to, and appropriately used, PPE to ensure people were protected from the risk of infection.

People's needs were assessed, and care was delivered in line with best practice; this included supporting people to eat and drink enough to maintain a balanced diet. People were supported to access support from external health and social care professionals when needed.

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.

The provider's governance systems were effective at identifying issues within the service to help drive necessary improvements. The management team were working with staff to help promote a more positive culture within the home. We received positive feedback from people and family members about the service that was provided.

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 Good (published 26 May 2023).

Why we inspected

The inspection was prompted in part due to concerns received about the overall quality of care provided and poor management of the service. A decision was made for us to inspect and examine those risks.

We undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Beechcroft Nursing and Residential Home on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation in relation to care plans, risk monitoring charts and staffing levels.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.