CQC report explained · a residential care home
What the CQC found at Beech Cliffe Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed, staffing was sufficient, medicines were managed safely and the provider acted on minor infection control concerns.
- Effective?
- Good
- This key question was not assessed in this inspection.
- Caring?
- Good
- This key question was not assessed in this inspection, although inspectors observed that staff respected people's privacy, dignity and choices.
- Responsive?
- Good
- This key question was not assessed in this inspection.
- Well-led?
- Good
- The home was managed in a person-centred and inclusive way. However, audits had not always identified concerns and the provider was asked to improve its quality monitoring.
What inspectors found, May 2022
Beech Cliffe Grange was rated Good; inspectors found safe, person-centred care, but infection control and quality checks needed attention.
This was an unannounced inspection on 4 and 5 May 2022. Inspectors spoke with three people, five relatives and eight staff. They observed care and checked care records, medicines records, recruitment files and management records.
The home supported nine adults with learning disabilities and autistic people, with space for up to 11. Inspectors found that people were kept safe, had enough staff and received their medicines as prescribed. Staff knew people well and supported their choices, privacy and dignity.
Some areas needed cleaning on the first day, but the provider acted quickly and inspectors found the environment had improved the next day. Audits had not always found problems, and there were no completion dates for some refurbishment work. The overall rating was Good, with Safe and Well-led both rated Good. The previous rating was also Good, published in January 2018.
People were kept safe
Risks such as choking, epilepsy and self-harm were identified and assessed. Staff knew what to do if they suspected abuse.
“Care planning documentation clearly identified areas of risk such as choking, epilepsy and self-harm.” from the report
Enough staff
People were supported one to one during the day, with waking night staff available at night.
“During the day people were supported on a one to one basis, therefore there was enough staff to support people in line with their needs.” from the report
Medicines were managed safely
Staff were trained to give medicines safely, and medicines were stored appropriately.
“People received their medicines as prescribed by staff who were trained in the safe administration of medicines.” from the report
Person-centred support
Staff knew people's needs and preferences. People were supported to make choices and work towards their personal goals.
“People were supported to live a life which considered their preferences and choices and was in line with their personal needs.” from the report
Approachable management
Relatives and staff said they felt able to speak with the management team and felt supported.
“People and relatives, we spoke with were confident they could speak with the management team and found them approachable and supportive.” from the report
Cleaning needed attention
minorInspectors found some areas that needed cleaning on the first day. The provider acted quickly and the environment had improved by the second day.
“We carried out a tour of the home with the registered manager and found some areas in need of cleaning.” from the report
Quality checks missed some problems
needs fixingAudits did not always identify infection control and environmental concerns. Inspectors recommended improving the monitoring system.
“During our inspection we found audits had not always identified concerns.” from the report
No timescale for refurbishment
needs fixingThe provider had started an environmental audit and identified areas needing refurbishment, but had not set a completion timescale.
“The provider was in the process of identifying areas of the home which required refurbishment and had commenced an environmental audit. However, there was no timescale for completion.” from the report
- 01Which cleaning issues were found during the inspection, and how are they now checked?
- 02What refurbishment work has been identified, and when will each part be completed?
- 03How does the home make sure its audits identify and resolve problems promptly?
- 04How will staffing remain sufficient for one-to-one support during the day and waking night support?
- 05How are people's individual choices, risks and goals kept up to date in their care plans?
This was an unannounced focused inspection of Safe and Well-led, including infection prevention measures; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 28 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.
What inspectors found, January 2018
Rated Good; inspectors found safe, kind and personalised care, with some medication records and care plans needing improvement.
This was an unannounced comprehensive inspection on 28 November 2017. Inspectors observed care, spoke with people, relatives and staff, looked around the home, and checked care, medicine, staff and management records.
The home remained Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, kind support, varied activities and effective management checks.
There were some areas to improve. Records showing that creams had been applied were not always completed. The care files were difficult to follow and not person centred. Some parts of the older building also needed repair and redecoration.
People felt safe
People and relatives told inspectors they felt safe. Staff understood how to recognise and report abuse and how to manage risks.
“Everyone we spoke with told us they felt safe.” from the report
Kind and respectful care
Staff knew people well and supported their dignity, choices and independence. Inspectors saw calm and positive relationships.
“Staff supported people with kindness, dignity and respect.” from the report
Activities and community life
People were supported to choose activities at home and in the community. Inspectors saw people going out and taking part in activities they had chosen.
“We saw people took part in varied meaningful activities.” from the report
Open management
The management team checked the service, acted on identified issues and sought views from people and relatives.
“Effective systems to monitor and improve the quality of the service provided were in place.” from the report
Medication records
needs fixingRecords did not always show that creams and ointments had been applied. Instructions for medicines given when needed also needed more detail, and temperature monitoring did not cover the full 24 hours.
“However, we identified some improvements in documentation were required.” from the report
Care files
needs fixingThe care files contained duplicated information and were hard to follow. Inspectors said they were not person centred, and the provider agreed to review them.
“However, the care files were very difficult to follow, had some information duplicated and were not person centred.” from the report
Older parts of the building
minorSome areas needed remedial work and redecoration. Improvements had started, with further refurbishment planned.
“However, the décor in some areas was tired and in need of some remedial works and re-decoration.” from the report
- 01Have all medication records for creams and ointments been completed reliably since the inspection?
- 02How are medicines prescribed to be given when needed now recorded and checked?
- 03Have the care files been rewritten so they are easier to follow and include each person's choices and preferences?
- 04Which refurbishment works have been completed since the inspection, and what work remains?
- 05Have all staff who need it completed the updated first aid training?
This was an unannounced comprehensive inspection covering all five rating areas, with records checked for three people and three staff. This explanation was written from the published report of 12 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.
Every inspection of Beech Cliffe Grange
3 rated inspections over 7 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 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.
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