Beaconville Nursing Home

Updated 5 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was 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.

This inspection took place on 29 and 30 May 2018 and the first day was unannounced. The inspection team consisted of one adult social care inspector and an expert by experience on the first day and one adult social care inspector on the second day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection, we reviewed the information we held about the home. This included correspondence we had received and notifications submitted by the home. A notification must be sent to the Care Quality Commission every time a significant incident has taken place, for example, where a person who lives in the home experiences a serious injury.

We gathered information from the local authority quality assurance improvement team and safeguarding adults team. This information was reviewed and used to assist with our inspection.

Most people living at Beaconville were not able to share their views about the service. During this inspection we carried out observations using the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not communicate with us.

During the inspection we observed care and support, looked at records and spoke with staff. We spoke with two people living at the home and seven visiting relatives. We spoke with the registered manager, deputy manager, one registered nurse, ten care staff, cook/ housekeeper, laundry assistant and activities co-ordinator/training lead.

We reviewed a range of records about people's care and how the home was managed. We looked at individual care records and for five people and sampled people’s medicine records. We also looked at recruitment, training and induction records for three staff, staffing duty rosters, staff meeting minutes, meeting minutes for people who lived at the home, maintenance contracts and quality assurance audits the registered manager had completed.

Updated 5 September 2018

The inspection took place on 29 and 30 May 2018 and the first day was unannounced.

Beaconville Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The provider is registered to accommodate up to 36 people. Beaconville Nursing Home provides nursing care and specialises in dementia nursing for older people. At the time of the inspection 32 people were living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection in January 2016 we rated the service 'Good'.

At this inspection on the 29 and 30 May 2018 we found the service continues to be 'Good'.

People received care and support in an exceptionally personalised way. Staff knew people well, understood their needs and the way they communicated if they were living with dementia. Care was focused on people's wishes and preferences. This meant people were able to achieve a good sense of self-worth and wellbeing. The impact this had on people was outstanding and had resulted in them being settled, content which helped them to lead as full and active lives as they wanted to. People’s quality of life had improved and was maintained.

The ethos of this home, led and maintained by a strong management team, ensured people were at the heart of the home. Without exception people and family members told us staff were very caring. Comments from relatives included, “The staff here and the quality of care is second to none. They meet mum’s needs above and beyond. We wouldn’t want mum to be anywhere else” and “The care my friend receives is without exception, faultless.” Relatives told us their relations became calmer and more relaxed than they had been in some time when they came to live at Beaconville. A health professional told us, “Beaconville are the absolute specialists in dementia care and they are by far the best home in the area and have been for many years.”

There was a very strong person-centred culture and staff really understood that people, their views and their wishes were what mattered most. We observed many positive and caring interactions between staff and the people they were supporting. Staff showed patience and understanding when supporting people and they did so in a way that promoted their independence, choice and dignity.

People were relaxed in the company of staff and staff demonstrated good interpersonal skills when interacting with people. When people became upset, staff knew the best way to reassure and support them until they became less anxious. It was clear staff knew people well.

People's lives were enhanced because staff demonstrated a responsive approach to ensuring people’s skills and hobbies were continued, so people felt valued and important. Beaconville focused on the individual and their experience of dementia and aimed to offer as much stimulation as possible. People had many opportunities to be involved in a variety of activities and these were adapted to people’s needs and preferences to suit each individual.

Beaconville was well led and had an experienced and skilled registered manager in post, which provided stable and consistent leadership. Relatives and staff had confidence in the leadership of the home. It was clear the registered manager acted as a strong role model, was inclusive, and communicated well with staff, people and relatives.

People who could, told us they felt safe. One person said, “Do I feel safe? Well yes.” Without exception, every relative we spoke with during the inspection described Beaconville as safe.

People were protected from abuse because there were systems and processes in place to identify and report issues of concern. Staff had received training in recognising and reporting abuse.

People's needs were met because the home had sufficient numbers of suitable skilled staff to meet their needs. The atmosphere in the home was peaceful, calm and organised and staff spent time with people. People received their medicines safely and on time from staff who were trained and assessed to manage medicines safely.

Assessments were undertaken to identify people's care, health and support needs. There was a strong emphasis on person centred care. People and their families were at the centre of decision making whilst working alongside professionals to get the best outcomes possible. Care plans were developed with people and relatives to identify how they wanted to be supported.

The registered manager was working within the principles of the Mental Capacity Act 2005 (MCA) and was following the requirements in the Deprivation of Liberty Safeguards (DoLS).

There was an on-going programme of repairs, maintenance and servicing to maintain safety and continually improve the environment of the home. The premises were well managed to keep people safe. For example, staff were familiar with actions to take to protect people in the event of a fire or other emergency. People were protected from cross infection by good standards of cleanliness and hygiene.