CQC report explained · a residential care home
What the CQC found at Beach Crest Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed and reviewed, recruitment checks were completed and staffing was responsive, but medicine practice did not always follow best-practice guidance.
- Effective?
- Good
- Staff had induction, training and support, and people's eating, drinking and healthcare needs were met. Some mandatory refresher training was overdue at the inspection.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors saw warm relationships and found that privacy, dignity, independence and everyday choices were respected.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and lifestyles and were reviewed. Activities were based on people's interests, and people had support with communication, complaints and end-of-life wishes.
- Well-led?
- Good
- The home had an open and friendly culture, visible management and effective teamwork. Audits, feedback and quality checks were used to monitor and improve the service.
What inspectors found, February 2020
Beach Crest Residential Home rated Good; inspectors found kind, responsive care, with medicine practice not always following best-practice guidance.
This was an unannounced inspection on 10 February 2020. One inspector spoke with two people using the service, two relatives and four staff. They also checked care plans, medicine records, staff files, training information and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were protected from abuse and avoidable harm, staff were recruited safely, and staffing levels met people's needs. Care was described as kind, respectful and tailored to people's routines, interests and changing needs.
There were two areas to improve. Some medicine arrangements did not follow best-practice guidance, and some mandatory refresher training was overdue. The provider was given a recommendation about medicines, but the report did not record any breach of regulations.
People felt safe
People and their families said they felt safe. Inspectors found that risks were assessed, reviewed and managed, with staff following the required actions.
“People and their families told us they felt safe.” from the report
Kind and respectful care
Staff were described as patient and kind. Inspectors observed warm relationships and found that staff respected people's privacy, dignity, independence and daily choices.
“Staff knew people well and were respectful of people's lifestyle choices and daily routines.” from the report
Personalised support
Care plans reflected people's personal needs and preferences. Activities and outings were arranged around people's interests and past lives.
“People had care plans which reflected their personal care needs and lifestyle choices, were understood by staff and reviewed regularly.” from the report
Active quality checks
Management used regular visits, pharmacy checks, health and safety audits, surveys and feedback to monitor the service and make improvements.
“Auditing systems and processes were effective at monitoring service delivery and regulatory requirements.” from the report
Medicine practice
needs fixingPeople received medicines safely, but some arrangements did not follow best-practice guidance. Cream instructions were not always clear, some medicines were kept in a kitchen fridge rather than a dedicated medicine fridge, and not all medicine records had a photograph.
“People received their medicine safely, but best practice guidance was not always being followed.” from the report
Overdue refresher training
needs fixingSome mandatory refresher training, including moving and handling and safeguarding, was overdue. The manager arranged completion dates during the inspection.
“We found some mandatory refresher training such as moving, and handling and safeguarding were overdue.” from the report
- 01Have all staff now completed the overdue refresher training in moving and handling and safeguarding?
- 02How are topical cream instructions recorded so staff know exactly when and where to apply them?
- 03Are medicines requiring refrigeration now stored in a dedicated medicine fridge?
- 04Do all medicine administration records include an agreed photograph or another reliable way to identify the person?
- 05How are families involved in reviewing care plans and activities as people's needs change?
This was an unannounced planned inspection covering all five CQC questions; all five ratings remained Good. This explanation was written from the published report of 29 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2017
Rated Good; inspectors found safe, kind and personalised care, with improvements made since three breaches at the previous inspection.
This was an unannounced inspection on 11 and 12 May 2017. One inspector spoke with a resident, relatives, staff, the manager and care professionals. They observed care and checked care records, medicines, staff files, incidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable risk assessments and appropriate safeguarding arrangements.
People were treated with kindness and respect. Their care plans reflected their needs, choices and preferences. They were supported with food, drink, healthcare, activities and contact with family and the community.
At the previous inspection in June 2016, the home had breached three regulations covering records and quality monitoring, the Mental Capacity Act, and staff supervision and appraisal. Inspectors said the required improvements had been made and all regulations were being met.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines, including controlled drugs, were stored, given and recorded safely.
“People were supported by sufficient numbers of staff to meet their needs.” from the report
Kind and respectful care
Staff knew people well and protected their dignity, privacy and choices. Relatives described the atmosphere as warm and family-like.
“Staff treated people with kindness and respected their privacy, dignity and wishes.” from the report
Personalised support
Assessments and care plans included people's histories, interests, preferences and support needs. Plans were reviewed monthly and shared with staff.
“Support plans were person centred and focused on people's individual needs, choices and preferences.” from the report
Improved management and records
The home had introduced clearer policies, recording formats and audits. Inspectors found that earlier problems with records and quality monitoring had been addressed.
“More effective quality assurance systems were in place to monitor the quality of care and drive improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people's individual risks, such as falls, weight loss and swallowing difficulties, reviewed and updated now?
- 02How do you check that medicines are given at the right times and that records remain complete?
- 03How are staff supervision, appraisals and training kept up to date?
- 04How are people and relatives involved in monthly care plan reviews and decisions made under the Mental Capacity Act?
- 05What activities and community outings are currently available for each person's interests and abilities?
This was an unannounced comprehensive inspection of the service, including checks on all five rating areas and whether improvements required after the June 2016 inspection had been made. This explanation was written from the published report of 3 June 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Beach Crest Residential Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Beach Crest Residential Home →
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Beach Crest Residential Home →
- August 2016Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 1 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
26 live-in carers within about an hour of Hampshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.