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CQC report explained · a residential care home

What the CQC found at Beech House

Goodpublished 17 March 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, medicines, recruitment, equipment and infection control were generally managed safely.
Effective?
Good
This question was not inspected during this visit. Its rating carried over from the previous comprehensive inspection.
Caring?
Good
This question was not inspected during this visit. Its rating carried over from the previous comprehensive inspection.
Responsive?
Good
This question was not inspected during this visit. Its rating carried over from the previous comprehensive inspection.
Well-led?
Good
Management had good oversight, regular audits and an open culture. People, relatives and staff gave positive feedback.
The latest report, explained

What inspectors found, March 2023

Beech House rated Good; inspectors found safe, caring support and strong management, with some tired décor still being improved.

This was an unannounced inspection on 6 and 7 March 2023. Inspectors spoke with people living at the home, relatives and staff. They also reviewed records, medicines, recruitment, safety checks and infection control.

The home was rated Good overall. Safe and well-led were both rated Good. People said they felt safe, staff were available, medicines were managed safely and the home had systems for managing risks and learning from incidents.

The home was clean and infection control arrangements were mostly effective. Some décor was tired and needed updating, but inspectors said it was not unsafe. Improvement work was already under way.

This inspection only assessed Safe and Well-led. The other three ratings carried over from the previous comprehensive inspection, when the service was also rated Good.

What inspectors praised
  • People felt safe

    People said they felt safe at the home. Staff understood safeguarding procedures and knew how to raise concerns.

    “People told us they felt safe. Risks to them were identified and well managed.” from the report
  • Safe staffing

    Recruitment checks were completed before staff started work. Inspectors saw staff available to meet people's needs.

    “There were safe systems of staff recruitment in place. All required checks had been undertaken prior to people commencing employment.” from the report
  • Medicines managed safely

    Medicines were stored and given safely. Staff were trained and their competence was checked regularly.

    “Staff were trained to administer medicines and had their competency checked regularly to ensure they were safe to do so.” from the report
  • Good management oversight

    The managers understood their responsibilities and used audits and monitoring to oversee the service and its improvement work.

    “Audits were thorough, and we saw evidence of provider oversight and monitoring in place.” from the report
  • People and staff involved

    People and relatives gave positive feedback. Meetings helped people and staff share views and discuss improvements.

    “Management take our concerns on board.” from the report
What inspectors were concerned about
  • Tired décor

    minor

    Parts of the home needed refreshing and upgrading. Inspectors said this was not unsafe, and improvement work was under way.

    “Parts of the décor were tired and in need of refreshing.” from the report
  • One incident was not reported

    needs fixing

    The provider had generally made the required notifications to CQC, but one incident had not been reported. This was corrected during the inspection.

    “The provider had notified CQC as required although we did find one incident that was not reported.” from the report
Questions to ask them, based on this report
  1. 01Which parts of the décor are still being upgraded, and when will the improvement work be completed?
  2. 02What was the incident that was not reported to CQC, and what has changed to prevent this happening again?
  3. 03What activities are now available, following the appointment of an activities coordinator?
  4. 04How are medicines that must be given at a specific time recorded and checked?
  5. 05How will you keep relatives informed about further improvements to the home?

This was a focused inspection of Safe and Well-led; the Effective, Caring and Responsive ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 17 March 2023 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.

An earlier report, explained

What inspectors found, January 2022

Beech House was inspected but not rated; inspectors found strong infection control and plans to manage COVID-19 staffing pressures.

This was a targeted inspection on 14 January 2022. It looked at infection prevention and control, including COVID-19 arrangements, and asked about staffing pressures. The visit was announced with one day's notice.

Inspectors found PPE was available and used properly. People and staff were tested regularly, visits followed current guidance, and the home was clean and uncluttered. The home also had cleaning schedules, infection control audits and detailed outbreak plans.

The service was marked 'Inspected but not rated'. This means this visit did not give a new overall quality rating or a rated score for safe care.

What inspectors praised
  • Infection control

    The home had cleaning schedules, regular cleaning of frequently touched areas and checks on infection control practice.

    “The home was very clean and uncluttered. Cleaning schedules were in place and frequently touched areas were cleaned regularly throughout the day to reduce the risk of infection.” from the report
  • PPE and testing

    Staff had been trained to use PPE, and inspectors saw it being used correctly. PPE stocks were ample and regular COVID-19 testing was in place.

    “Staff had received training in the use of Personal Protective Equipment (PPE), and we observed staff wearing PPE as required. There were ample stocks of PPE.” from the report
  • Managing outbreaks

    The home had policies, risk assessments and arrangements intended to prevent or manage infection outbreaks.

    “The system in place ensured any infection outbreaks could be effectively managed.” from the report
  • Visiting arrangements

    The home supported visits in line with current guidance, with visitors asked to test and wear PPE.

    “The registered manager was supporting visits for people living in the home in accordance with the current guidance.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are you currently managing staff shortages or COVID-19-related staffing pressures?
  2. 02Are staff and visitors still following the home's PPE and COVID-19 testing arrangements?
  3. 03How often are frequently touched areas cleaned, and how do you check that cleaning is completed?
  4. 04What would happen if there were an infection outbreak in the home?
  5. 05How are visits currently arranged and what testing or PPE is required?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection of all aspects of the service. This explanation was written from the published report of 25 January 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.

The story over the years

Every inspection of Beech House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. March 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Beech House →

  2. January 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Beech House →

  3. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. January 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. January 2011

    Registered with the Care Quality Commission on 18 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.

Next steps

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