What the CQC found at Beech Dene Residential Care Home

Inspectors found enough staff who had been safely recruited and trained. Staff understood safeguarding and knew people's needs.

“Staff completed an induction and had suitable training to support people in the home.” from the report

Staff worked with health professionals when people's needs changed. Recommendations were recorded and followed.

“Professionals visits and recommendations were documented in people's care folders and these were understood and followed by staff.” from the report

The home adapted communication for people who needed it, including someone whose first language was not English.

“Staff used a communication book containing pictures and words in the person's language to communicate with them.” from the report

There was a complaints process and the report says complaints were answered to people's satisfaction.

“A complaints procedure was in place and complaints were responded to, to people's satisfaction.” from the report

Most upstairs windows did not have compliant restrictors, creating a falls risk. Some radiator covers had large openings that increased the risk of scalding.

“Most windows above ground level did not have compliant window restrictors fitted in line with guidelines.” from the report

Medicine stock checks were not being completed and some instructions for medicines given when needed lacked enough detail. The manager said a new stock-auditing system was introduced after the visit.

“Medicines audits were not robust. Stock checks were not being completed and therefore the registered manager could not be assured people's medications were being given to them appropriately.” from the report

For one person, capacity had not been assessed before a restriction was included in a DoLS application. This meant not all restrictions were considered by the appropriate assessor.

“This meant the registered manager had not followed the principles of the MCA and had not included all restrictions.” from the report

Some people shared bedrooms without being fully involved in the decision. Not all shared rooms had curtains, affecting privacy during personal care.

“People were not always being supported in a way that promoted their dignity, respect and privacy.” from the report

The home's audits did not reliably identify environmental risks, medicine issues or specific health risks. Records did not always show whether identified actions had been completed.

“Quality audits were not robust enough. Audits were not always effective in identifying areas of risk or concern.” from the report

Some people said there was not much to do, with activities including occasional quizzes, exercises and games. The activity coordinator was part time and the home hoped to recruit another one.

“There's not really a lot to do apart from TV.” from the report