CQC report explained · a residential care home
What the CQC found at Beachville West End
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors reviewed infection prevention and control. They were assured about infection prevention, use of protective equipment, hygiene, admissions and managing outbreaks, but did not review the whole Safe question.
- Effective?
- Good
- Care plans reflected people's needs and wishes. Staff were trained, nutritional needs were supported, healthcare links were good and consent and best-interest decisions were recorded.
- Caring?
- Good
- This key question was not rated in this inspection report.
- Responsive?
- Good
- This key question was not rated in this inspection report.
- Well-led?
- Good
- Inspectors found an open and inclusive culture, effective quality checks, visible management and regular feedback from people, relatives and staff.
What inspectors found, July 2023
Rated Good; inspectors found effective, respectful care and strong management, while the full Safe rating was not reviewed.
This was an unannounced inspection. Inspectors visited on 28 February 2023, and inspection activity continued until 3 March 2023. They spoke with 3 people living at the home, 10 relatives and 6 staff. They also reviewed care plans and management records.
The home was rated Good overall. Effective and Well-led were rated Good. Inspectors found detailed care plans, suitable staff training, good support with food and drink, appropriate healthcare links and accurate consent records.
The inspection looked at infection prevention under Safe, but did not review the whole Safe question. The home was assured on its infection control arrangements. Safe was therefore inspected but not rated. Caring and Responsive were not rated in this report.
The previous rating was Requires Improvement, published in May 2022. The provider had completed an action plan. Inspectors found enough improvement for the home to be no longer in breach of the regulations and changed the overall rating to Good.
Detailed care planning
Care plans reflected people's needs and wishes, and daily records were accurate and used to support good outcomes.
“Care plans were assessed in detail and recognised people's needs and wishes.” from the report
Food and drink support
The home checked people's weights, worked with health professionals and recorded food preferences. Staff worked closely with the kitchen team.
“There were good working relationships between the kitchen staff and carers.” from the report
Trained staff
Inspectors found staff had the skills needed for their roles. Managers tracked training and staff were working towards the Care Certificate.
“Staff were trained with the skills they needed to provide care to people.” from the report
Good management oversight
Quality checks were up to date and effective. The manager and senior leadership worked well together to run the home.
“Quality monitoring tools were in place, up to date and effective.” from the report
Improved consent practice
The provider had improved how it involved people in decisions about their care. Consent, best-interest decisions and legal safeguards were recorded.
“Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 9.” from the report
Inspectors raised no specific concerns in this report.
- 01The full Safe question was not rated. When will the home next have a comprehensive safety inspection?
- 02How does the home make sure staff training remains up to date, including training being completed towards the Care Certificate?
- 03How will staff continue to monitor people's weight, food preferences and fluid intake?
- 04How does the home check that consent, best-interest decisions and DoLS records remain current?
- 05How are feedback and complaints from residents and relatives recorded and used to make improvements?
This was an unannounced focused inspection covering infection prevention under Safe and the Effective and Well-led questions; the full Safe question, Caring and Responsive were not rated, and other ratings were carried forward from the previous inspection. This explanation was written from the published report of 15 July 2023 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, May 2022
Beachville West End rated Requires Improvement; inspectors found safe, kind care but gaps in involvement, records and leadership.
This was an unannounced focused inspection on 2 and 10 February 2022. Inspectors reviewed information from the service, spoke with people, staff and relatives, and checked care records, policies, training and procedures. The inspection began because of a concern about visiting and was widened after inspectors found that one person had not been involved in an important care decision.
The home was rated Good for Safe. Inspectors found enough staff, safe recruitment, support with food and drink, and suitable infection control arrangements. The home was clean and well maintained, and people and relatives spoke positively about the staff and care.
Effective and Well-led were rated Requires Improvement. One person was not consulted about an important decision, some records did not show that best practice was followed, some training had been delayed, and there had been delays in notifying CQC about incidents. The overall rating fell from Good at the previous inspection to Requires Improvement. The provider was asked for an action plan and will be monitored.
Safe staffing and recruitment
Inspectors found enough staff to meet people's needs and found that safe recruitment procedures were followed.
“There were sufficient staff deployed to meet people's needs.” from the report
Clean and infection-safe
The home was clean and well maintained. Inspectors were assured about infection prevention, PPE, testing and outbreak arrangements.
“The home was clean and well maintained.” from the report
Kind care
People and relatives spoke positively about the staff and the care. Relatives described the care as personal and family-like.
“I cannot fault them, my mum gets excellent care.” from the report
Homely setting
People and relatives liked the homely environment. The garden and summerhouse had been useful for visits during the pandemic.
“It's more homely and suitable for her, more tailored to the individual.” from the report
People not always involved
seriousOne person was not consulted or involved in an important decision about their care and support. This was a breach of Regulation 9.
“People were not always engaged and involved with regards to their care and support.” from the report
Records and best practice
needs fixingRecords did not always show that best practice was followed for moving and handling and risk assessments. Inspectors recommended improvements to how these areas were assessed and monitored.
“Records did not always evidence that best practice was followed.” from the report
Staff training
needs fixingTraining in some areas had not happened as planned because of COVID-19. Management updated its training policy and said training would be reviewed.
“Training in certain areas had not been carried out as planned due to COVID-19.” from the report
Delayed incident notifications
needs fixingThe home had delayed notifying CQC about several incidents. The manager said future notifications would be sent without delay.
“There had been a delay in notifying CQC of several incidents at the home.” from the report
Minor medicines recording issues
minorInspectors found minor problems with medicine records and the storage of keys. Management addressed these during the inspection.
“We identified several minor issues around the recording of medicines and the storage of keys which management staff immediately addressed.” from the report
- 01How do you now make sure every person is consulted and involved in important decisions about their care?
- 02What changes have been made to moving and handling records, falls assessments and other risk assessments?
- 03Has all the delayed staff training now been completed, and how are training dates monitored?
- 04How are provider checks, monitoring visits and management meetings now recorded?
- 05How do you make sure incidents are reported to CQC without delay?
This was a focused inspection of Safe, Effective and Well-led; the other key questions were not inspected in this visit and their previous ratings were used in calculating the overall rating. This explanation was written from the published report of 21 May 2022 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 Beachville West End
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- July 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2022Requires improvementEffective: Requires improvementWell-led: Requires improvement
- December 2020Inspected but not ratedSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 15 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
23 live-in carers within about an hour of Northumberland
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 £950 to £1,190 a week. 20 can care for a couple. 11 years' experience on average.
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.