CQC report explained · a residential care home
What the CQC found at Beech House Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People felt safe and risks, medicines, infection control and staffing were well managed. Inspectors noted that identity check information, including photographic checks, needed to be retained in recruitment records.
- Effective?
- Good
- People received suitable support with nutrition, hydration, pressure ulcer prevention, mobility and healthcare. Staff had relevant training and the home followed the principles of consent and least restrictive care.
- Caring?
- Good
- Staff were kind and considerate. Inspectors saw warm relationships, respect for privacy and dignity, support for independence, and involvement of people and relatives in care planning.
- Responsive?
- Outstanding
- Activities were tailored to people's histories, interests and abilities, including the needs of people living with dementia. The home supported community links, family involvement, accessible information, complaints and end of life care.
- Well-led?
- Outstanding
- The home had an open and inclusive management style. Quality checks focused on people's experiences, and people, relatives and staff were involved in improvements.
What inspectors found, January 2019
Beech House Care Home was rated Outstanding overall, with safe, effective and caring support rated Good.
This was a comprehensive inspection on 23 and 25 October 2018. The first day was unannounced. Inspectors spoke with people living in the home, relatives, staff and a healthcare professional. They observed care and checked care plans, risk assessments, medicines, training and management records.
Inspectors found people were safe, treated with kindness and supported by enough trained staff. Medicines were managed well. The home was clean. People's health, nutrition, communication needs and personal choices were assessed and reviewed.
The home was rated Outstanding for responsive care and leadership. Activities were highly personalised, links with the local community were encouraged, and people and relatives helped shape the service. The home had previously been rated Good in February 2016.
Personalised activities
Activities were linked to people's life histories, interests and abilities. Inspectors saw that activities helped people feel less lonely, calmer and more engaged.
“Activities were carefully planned to be relevant to people, were meaningful to people and matched to people's levels of ability” from the report
Community and family links
People were supported to keep relationships with relatives and to take part in local activities. The home also welcomed volunteers and visits from local groups.
“Links between people and the local community were valued and actively promoted and supported” from the report
Strong leadership
Managers used direct observations, feedback, audits and incident reviews to check care and make changes. Staff were described as motivated and involved.
“The provider had created and inclusive and empowering culture.” from the report
Safe and well-managed care
Inspectors found good arrangements for medicines, staffing, infection control, emergency risks and learning from incidents.
“Medicines were administered as prescribed and well managed. Medicines were stored and disposed of safely.” from the report
Kind and respectful support
Staff respected people's privacy and dignity and promoted independence. People and relatives described staff as caring and considerate.
“People and relatives told us the staff were caring and considerate.” from the report
Recruitment records
minorInspectors discussed the need to keep information confirming staff identity checks, including photographic checks. The manager said this would be put in place.
“We discussed the requirement to retain information on identify checks, including photographic identity checks and the registered manager told us this would be put in place.” from the report
- 01How do you check and record staff identity documents, including photographic identity checks?
- 02How would you tailor activities and daily routines to my relative's interests, history and abilities?
- 03How do you monitor my relative's food and fluid intake, weight and risk of pressure ulcers?
- 04How are relatives involved in care reviews, complaints and decisions about changes to care?
- 05How would you support my relative's healthcare needs and wishes at the end of life?
This was a comprehensive inspection covering all five key questions, and it also included a detailed review of oral health support as part of a national review. This explanation was written from the published report of 8 January 2019 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 House Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- January 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 2 March 2012.
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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75 live-in carers within about an hour of Nottinghamshire
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Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
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