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CQC report explained · a residential care home

What the CQC found at Beaconsfield Heights Care Home

Goodpublished 5 October 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and risks were assessed. Medicines, equipment, the building and emergency arrangements were checked and managed safely.
Effective?
Good
Care was assessed and reviewed, staff received training, and people's health, nutrition and hydration needs were supported. Inspectors found mixed feedback about the dining experience.
Caring?
Good
Staff were described as kind and compassionate. People were treated with dignity, had their privacy respected, and were encouraged to remain independent.
Responsive?
Good
Care plans reflected people's individual needs and staff knew their likes and dislikes. Activities were available, but inspectors found repetition, a cancelled activity without a replacement, and limited variety.
Well-led?
Good
People, relatives and staff gave positive feedback about the management. Audits, meetings and other quality checks were used to monitor and improve the service.
The latest report, explained

What inspectors found, October 2018

Rated Good; inspectors found kind, safe and well-managed care, with improvements needed at mealtimes and in activities.

This was an unannounced inspection on 3, 4 and 6 September 2018. Inspectors spoke with 13 people, two relatives and 12 staff. They looked at care records, medicines and staff recruitment and training records, and observed care.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, medicines were managed safely, care plans reflected people's needs, and staff treated people with dignity and respect.

There were some shortfalls. Staff deployment at lunchtime did not always give people enough personalised support. Some people wanted more varied activities, and one advertised activity was cancelled without a replacement. People also gave mixed views about how much say they had in decisions.

What inspectors praised
  • Kind and respectful staff

    Inspectors observed kind and compassionate interactions. People said their privacy was respected and staff supported their independence.

    “We observed people were treated with kindness and compassion. Staff addressed people by their preferred name.” from the report
  • Safe medicines and risk checks

    Medicines records were completed appropriately, storage was safe and incidents were investigated. Risks such as falls and pressure damage were assessed and managed.

    “People who required support with managing and taking their prescribed medicine had this detailed in their care plan.” from the report
  • Strong management checks

    The home had regular audits and meetings covering areas such as medicines, falls and infection control. The management team shared learning and responded to feedback.

    “There were robust quality assurance systems in place. A regular programme of audits was undertaken which included medicines, falls and infection control, as examples.” from the report
  • Individual care planning

    Care plans covered people's health, mobility, skin care, end of life wishes and other personal needs. Staff reviewed them when people's needs changed.

    “Each person had care plans in place which reflected their individual needs.” from the report
What inspectors were concerned about
  • Personal support at mealtimes

    needs fixing

    Inspectors found that staff deployment at lunch did not always provide personalised support. One person lost interest in their meal when the staff member supporting them moved away.

    “On both days we visited the home, we found one staff member supporting more than one person at lunch.” from the report
  • Activities were not always reliable or varied

    needs fixing

    Some people wanted more variety. An advertised art group had no staff present, and another activity was not arranged as a replacement.

    “On the second day of the inspection an art group was advertised. We observed one person going to the area of the home where the activity should have taken place. No staff were present to facilitate the group.” from the report
  • Mixed involvement in decisions

    needs fixing

    Although meetings and questionnaires were available, some people said they had little say in their care and activities. The manager was told about this feedback.

    “There's no involvement. We have no say in the matter. It's all laid out for us.” from the report
Questions to ask them, based on this report
  1. 01How many staff are available at lunchtime, and how do you make sure each person gets personalised support throughout their meal?
  2. 02How do residents choose activities, and what happens when an advertised activity is cancelled?
  3. 03What changes have you made to provide more varied activities, especially after supper?
  4. 04How are residents involved in decisions about their care, treatment and daily activities?
  5. 05How do you check that staff offer people choices about meals and drinks and respond to what they say?

This was an unannounced inspection of the whole home and covered all five CQC questions, including care, premises and management. This explanation was written from the published report of 5 October 2018 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.

The story over the years

Every inspection of Beaconsfield Heights Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. October 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Beaconsfield Heights Care Home →

  2. August 2017

    Registered with the Care Quality Commission on 1 August 2017.

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.

Next steps

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