CQC report explained · a residential care home
What the CQC found at Beaconsfield Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably skilled staff, safe recruitment, effective safeguarding and good management of risks. Medicines and infection control were also managed safely.
- Effective?
- Good
- Care plans and assessments covered people's health, communication, sensory needs, preferences and goals. Staff were trained and supported people with food, healthcare and decisions made under the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. They used people's preferred communication methods and supported them to make choices and develop everyday skills.
- Responsive?
- Good
- Support was personalised to people's needs, interests and goals. People had communication plans and activity plans, and the home provided information in formats they could understand.
- Well-led?
- Good
- Inspectors found approachable managers, effective checks on quality and a positive culture. Staff, relatives and other professionals were involved in improving people's care.
What inspectors found, October 2023
Rated Good; inspectors found safe, kind and personalised care, with people supported to make choices and build independence.
This was an unannounced inspection carried out by one inspector. The inspector visited on 1 August 2023, with inspection activity continuing until 23 August 2023. They spoke with managers, staff and relatives, observed care, and checked care records, risk assessments, medicines records and staff files.
The home supported four people with learning disabilities and/or autism. Inspectors found enough trained staff, safe medicines systems, good infection control and well-maintained surroundings. Staff understood people's communication, sensory and health needs.
Inspectors found that people were treated with kindness, dignity and respect. People were supported to make choices, take part in activities, maintain relationships and work towards personal goals. All five areas were rated Good.
Choice and independence
Staff focused on what people could do and supported them to make choices, gain skills and have control over their daily lives.
“Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.” from the report
Consistent staffing
The home had enough staff, including for one-to-one and two-to-one support. Inspectors noted a low staff turnover, which helped provide continuity.
“There was a low turnover of staff which meant people received a continuity of care.” from the report
Kind and respectful care
Staff understood people's individual needs and communication styles. Inspectors observed warmth, respect and attention to people's emotions and sensory needs.
“We observed staff members showed warmth and respect when interacting with people.” from the report
Personalised support
Care plans included people's health needs, preferences, communication, sensory needs and aspirations. Staff supported people with activities, relationships and everyday living skills.
“People had care and support plans that were personalised, holistic, strengths-based and reflected their needs and aspirations, included physical and mental health needs.” from the report
Strong leadership
Managers were visible and approachable. Inspectors found effective quality checks and staff who felt able to raise concerns.
“Governance processes were effective and helped to hold staff to account, keep people safe, protect people's rights and provide good quality care and support” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's preferred way of communicating, including when they are distressed?
- 02How would you help my relative work towards their personal goals and develop everyday living skills?
- 03What one-to-one or two-to-one support would be available for the activities and visits my relative wants?
- 04How would you involve me, my relative and any advocate in reviewing their care and risk assessments?
- 05How do you review medicines and use non-med medicine approaches when someone becomes distressed?
This was an unannounced inspection of all five key questions, including infection prevention and control; the inspector visited on 1 August 2023 and inspection activity continued until 23 August 2023. This explanation was written from the published report of 28 October 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, March 2022
Inspected but not rated; inspectors found good infection control, safe visiting arrangements and support for people during the pandemic.
This was an announced, targeted inspection on 24 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.
Inspectors found that staff used storyboards and reassurance to help people understand masks, hand washing and the pandemic. People were supported to visit relatives, use the community and return to college safely.
The home had individual COVID-19 risk assessments, routine testing, suitable protective equipment and regular staff training. Inspectors also found robust cleaning, and said the home was clean and smelled fresh.
The service was inspected but not rated. The inspection did not provide an overall rating or ratings for most of the five key questions.
Clear communication
Staff helped people understand the pandemic, masks and hand washing using storyboards and repeated reassurance.
“Staff used storyboards and constant reassurance to explain the COVID-19 pandemic, use of masks and the importance of hand washing.” from the report
Safe contact with family
The home supported visits from relatives and gave visitors guidance and symptom screening on arrival.
“The home recognised the importance of people having family and friends visit them and this was supported in a safe way.” from the report
Infection control
Inspectors were assured about PPE, testing, cleaning, social distancing and the home's arrangements for preventing and managing outbreaks.
“There were robust cleaning processes in place to minimise the risk of transmission.” from the report
Clean environment
The home and people's bedrooms were clean and fresh-smelling during the inspection.
“At the time of the inspection the home, including people's bedrooms, was clean and smelled fresh.” from the report
Inspectors raised no specific concerns in this report.
- 01How are people's individual COVID-19 risk assessments reviewed now?
- 02How do you currently support visits from relatives and trips into the community?
- 03How do you manage staffing pressures and make sure they do not affect people's support?
- 04How often are staff trained in infection control and the safe use of PPE?
- 05How are cleaning, testing and outbreak prevention arrangements checked and recorded?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 12 March 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 Beaconsfield Road
2 rated inspections over 4 years: the service has held its Good rating throughout.
- October 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- April 2020GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020
Registered with the Care Quality Commission on 20 November 2020.
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.
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At least 100 live-in carers within about an hour of Enfield
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 £980 to £1,260 a week. 79 can care for a couple. 11 years' experience on average.
“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
“Charity would take Nan on holidays day trips and shopping adventures”
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.