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CQC report explained · a residential care home

What the CQC found at Beech Cliffe

Goodpublished 12 January 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 by risk assessments, emergency plans, suitable staffing and safe medicine storage. Inspectors found that some as-needed medicine instructions and records needed improvement.
Effective?
Good
Staff had relevant training, supervision and support. People were helped with food, health appointments, communication and decisions about their care.
Caring?
Good
Staff were kind, respectful and responsive. Inspectors saw people being treated with dignity and supported to keep relationships and follow their cultural or religious preferences.
Responsive?
Good
People had activities, support to maintain relationships and clear information about complaints. However, care files were difficult to follow, included duplicated information and were not person-centred.
Well-led?
Good
The home had a registered manager, clear staff roles and systems for checking quality and acting on issues. People, relatives and staff were asked for their views.
The latest report, explained

What inspectors found, January 2018

Rated Good; inspectors found safe, kind and responsive care, with some records needing improvement.

This was an unannounced comprehensive inspection on 30 November 2017. Inspectors observed care, spoke with people, relatives and staff, looked around the home, and checked care, medicine, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated with kindness, supported to make choices and helped to take part in activities and maintain relationships.

The home remained Good, the same rating as at the previous inspection in December 2015. The report says it met all relevant fundamental standards. Inspectors did identify improvements needed in some medicine records and in how care files were organised.

What inspectors praised
  • Keeping people safe

    Risk assessments, staffing arrangements and emergency plans were in place. Staff understood people's needs and how to support independence safely.

    “People were kept safe by robust risk assessments that identified any risks they faced and measures to keep them safe.” from the report
  • Kind and respectful care

    Inspectors saw staff respond promptly, understand how people communicated and provide emotional support. People were treated with dignity and respect.

    “We observed staff treated people with dignity and respect during the Inspection.” from the report
  • Useful activities

    People took part in varied activities, including daily living skills, exercise and leisure. They were supported to choose activities and try new things.

    “We saw people had a busy weekly programme of activities which including regular scheduled activities as well as ad hoc sessions where people choose what they wanted to do during those times.” from the report
  • Open management

    The home had quality checks, action plans and ways for people, relatives and staff to give feedback. Inspectors found that issues identified were acted on.

    “Effective systems to monitor and improve the quality of the service provided were in place.” from the report
What inspectors were concerned about
  • As-needed medicine records

    needs fixing

    Some instructions for as-needed medicine did not explain clearly when it should be given. Staff also did not record when it was given if it worked.

    “Staff also did not record when PRN medication was given if it was effective.” from the report
  • Medicine room temperature checks

    minor

    The medicine room temperature was checked once a day, rather than being evidenced across the full 24-hour period.

    “However, this was checked once a day and did not evidence the temperature over a 24 hour period.” from the report
  • Care files were hard to follow

    needs fixing

    Care files contained duplicated information and were not person-centred. The provider agreed to review them and develop clearer files with people's involvement.

    “However, the care files were very difficult to follow, had some information duplicated and were not person centred.” from the report
  • Staff consistency

    needs fixing

    Some relatives raised concerns about a lack of consistency in the staff supporting people. They said this sometimes affected people.

    “However, some relative's raised the issue of lack of consistency in staff providing support, saying that at times this had an impact on people.” from the report
Questions to ask them, based on this report
  1. 01What has changed in the instructions and recording for as-needed medicines since the inspection?
  2. 02How do you now monitor medicine room temperatures throughout the day?
  3. 03Have the care files been rewritten so they are clear, person-centred and agreed with each person?
  4. 04How do you provide consistency in the staff supporting each person?
  5. 05How are people's views and relatives' feedback used to improve the home?

This was an unannounced comprehensive inspection covering all five ratings, which all remained Good from the previous inspection in December 2015. 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.

The story over the years

Every inspection of Beech Cliffe

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. January 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Beech Cliffe →

  2. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. 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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