CQC report explained · a residential care home
What the CQC found at Beckly House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2018
Rated Good; inspectors found kind, person-centred care and improvements since the previous inspection, with medicines storage needing attention.
This was an unannounced inspection on 1 November 2017. Inspectors spoke with people living in the home, relatives, managers and staff. They also observed daily life and checked care plans, medicines records, staff files, maintenance records and quality audits.
The home was clean and well maintained. People said they felt safe. Staff were recruited safely and there were enough staff to provide care. Risks were assessed carefully, with an emphasis on keeping people's independence. Medicines were generally managed well, but storage temperatures were sometimes above the recommended limit.
Inspectors found staff were trained and supported, and that people were involved in decisions, meals and activities. Care was kind, respectful and tailored to each person. Records were detailed and up to date, and the management team involved people, relatives and staff in improving the home.
The home was rated Good in all five areas and overall. At the previous inspection it was rated Requires Improvement, with breaches linked to the premises and governance. Inspectors found that action had been taken and those areas had improved.
Kind and respectful care
Inspectors saw a relaxed home where staff knew people well and treated them with kindness, dignity and compassion.
“Without exception we saw people were treated with kindness and compassion, and people confirmed this was always the case.” from the report
Promoting independence
People were supported to make choices, use the community and take reasonable risks without unnecessary restrictions.
“Care plans emphasised people's individuality and placed emphasis on the kinds of support people needed in order to live with as much control and freedom” from the report
Personalised support
Care plans included detailed information about people's needs, communication, preferences and goals. People and their families or advocates were involved where appropriate.
“Care plans were detailed, person-centred documents that presented a clear picture of each individual person, their needs, preferences for support and care and goals which they wanted to achieve.” from the report
Improved management
The provider had improved cleanliness, maintenance and systems for checking and improving quality since the previous inspection.
“At this inspection we found the provider had taken action to improve infection control, maintenance of the premises and governance systems to measure monitor and improve quality.” from the report
Medicines storage temperature
needs fixingThe medicines storage room and fridge regularly exceeded 25 degrees. Inspectors recommended action so medicines could be kept within safe temperature limits.
“We noted these had regularly exceeded 25 degrees, which is the maximum recommended temperature for storing medicines which do not require refrigeration.” from the report
Recruitment risk recording
needs fixingOne background check showed spent convictions, but inspectors could not initially see how the potential risk had been assessed. The manager sent the assessment after the inspection.
“We could not see how this potential risk had been assessed. The registered manager forwarded this risk assessment to us after the inspection.” from the report
Understanding complaints
minorOne person said they did not know how to complain. Staff then spent time explaining the process, and there had been no complaints since the previous inspection.
“We saw in the minutes of one residents meeting that a person had said they did not know the process for making a complaint.” from the report
- 01What action has been taken to keep the medicines storage room within the recommended temperature?
- 02How do you check that medicines records match the medicines people are currently using?
- 03How are recruitment risks, including information about convictions, assessed and recorded before staff work with people?
- 04How will you make sure each person understands how to raise a complaint?
- 05How will my relative be involved in choosing meals, activities and the support in their care plan?
This was an unannounced inspection that looked at the overall quality of the home and rated all five key questions. This explanation was written from the published report of 4 January 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.
What inspectors found, November 2016
Beckly House was rated Requires Improvement; inspectors found kind, personalised care but unsafe night staffing, poor cleanliness and weak quality checks.
This was an unannounced inspection on 8 August 2016. One inspector observed care, spoke with people and staff, and checked care plans, medicines records, staffing rotas, maintenance records and quality checks.
People appeared relaxed and staff were patient, kind and respectful. People received support with food, healthcare, medicines, activities, holidays and community life. The ratings for Effective, Caring and Responsive were Good.
Inspectors found that night staffing was not enough to keep everyone safe at all times. Parts of the home were not clean or well maintained. The checks used by management had not found these problems. Safe and Well-led were rated Requires Improvement, giving an overall rating of Requires Improvement.
Kind and respectful staff
People appeared relaxed and staff supported them calmly and patiently. Staff knew people's needs, preferences and communication methods.
“People were supported by staff who were kind, caring and respectful.” from the report
Activities and community life
People were supported to go out, try new activities, follow hobbies and take holidays.
“People were supported to access the community and try out new activities as well as continue with previous interests.” from the report
Medicines and safeguarding
Inspectors found that medicines were stored, recorded and given safely. Staff understood how to report safeguarding concerns.
“People received their medicines in a safe way.” from the report
Not enough night staff
seriousInspectors found that night staffing was not enough for people's needs. When several people needed help at the same time, some people could be left without support.
“We had concerns that staffing levels did not provide safe care to people at all times as night time staffing levels were not sufficient to provide safe care to people.” from the report
Cleanliness and maintenance
seriousSome communal areas and hallways were not clean. Parts of the building showed wear, including stained carpets, marked walls, damp odours and worn kitchen surfaces.
“We had concerns there was not an adequate standard of cleanliness around the building.” from the report
Quality checks missed problems
seriousThe home's audits had not identified the night staffing risk or the problems with cleanliness and maintenance. This meant management did not find and correct important issues promptly.
“The systems used to assess the quality of the service had not identified the issues that we found during the inspection.” from the report
- 01How many staff are now on duty overnight on each unit, and how do you make sure people needing one-to-one or two-to-one support are not left without help?
- 02What happened after the additional sleep-in night worker was trialled, and is this staffing arrangement still in place?
- 03Which cleanliness and maintenance problems identified in the report have been fixed, including stained carpets, damp odours, marked walls and worn kitchen surfaces?
- 04How do you now check that staffing levels, cleanliness and building maintenance are safe and satisfactory?
- 05How will you keep each person's care plan accurate when their needs or routines change?
This was an unannounced inspection covering all five CQC questions, including observations, discussions and checks of care, staffing, medicines, premises and management records. This explanation was written from the published report of 16 November 2016 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 Beckly House
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- January 2018Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 January 2011.
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 Calderdale
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. 87 can care for a couple. 12 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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.