CQC report explained · a nursing home
What the CQC found at Beech Manor
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable risks. Staffing, recruitment, medicines, fire safety, infection control and incident management were all found to be effective.
- Effective?
- Good
- People's needs were assessed carefully and staff had relevant training and support. People received help with nutrition, healthcare, consent and developing independence.
- Caring?
- Good
- Staff were exceptionally caring and compassionate. They supported people's emotional needs, respected privacy and dignity, and helped people maintain relationships, beliefs and independence.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and goals. People were supported with communication, activities, education, employment, relationships and complaints.
- Well-led?
- Good
- The home had open management, regular audits, feedback systems and links with health and social care organisations. Staff understood their roles and were supported to raise concerns.
What inspectors found, April 2020
Rated Good; inspectors found safe, compassionate and personalised care, with more support needed for people moving on to independent living.
This was an unannounced planned inspection on 24 February 2020. One inspector spoke with people, staff, managers, relatives and a healthcare professional. They reviewed care plans, medicines records, staff records and quality checks.
The home supported seven people, with capacity for eight adults with mental health problems. Inspectors found people were safe, treated with kindness and supported by staff who understood their needs. Medicines, staffing, recruitment, infection control and the environment were managed safely.
People received personalised care, support with health appointments, food, activities and daily living skills. Staff respected people's choices, privacy, culture and independence. The home had good systems for complaints, feedback, audits and working with other organisations.
All five areas were rated Good. This means the inspectors found consistently good care and management at the time of the visit. The overall rating stayed Good, the same as at the previous inspection published on 22 September 2017.
Compassionate support
Staff gave particularly strong emotional support. Inspectors saw staff help people through bereavement and arrange a supported visit to an unwell relative.
“Staff were exceptionally caring and compassionate towards people.” from the report
Safety systems
Inspectors found suitable safeguarding, risk management, staffing and recruitment arrangements. Medicines and the environment were also managed safely.
“People were safe at the service.” from the report
Skilled staff
Staff received training, supervision and specialist training linked to people's mental and physical health conditions.
“Staff were trained and had the experience and skills to support people appropriately.” from the report
Personalised care
Care plans included people's needs, interests, routines and goals. People were encouraged to make choices and develop skills for more independent living.
“Each person had a care plan which contained detailed information about their individual needs such as those relating to their mental, physical, interests and goals they wanted to achieve.” from the report
Good oversight
The home used audits, meetings and surveys to monitor care and make improvements. It also worked with professionals and community organisations.
“The service had systems in place to regularly assess and monitor the quality of service provided.” from the report
Moving towards independence
minorRelatives and professionals felt the home supported people's health and wellbeing, but could do more to help people move to independent living accommodation.
“Relatives and professionals told us that people were supported to maintain and improve their mental and physical health well-being; but needed to do more to support people move on to independent living accommodation.” from the report
- 01What specific plans are in place to help my relative move on to independent living accommodation?
- 02How will you assess and review my relative's mental health risks, relapse indicators and crisis plan?
- 03What activities, education, work or daily living skills could my relative take part in here?
- 04How will my relative be involved in decisions about their care, and how will you involve family members where appropriate?
- 05How do you monitor staffing levels if people's needs change or there is staff absence?
This was an unannounced planned inspection covering all five CQC questions, with care, medicines, staffing, records and management systems reviewed; the previous Good ratings remained unchanged. This explanation was written from the published report of 4 April 2020 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, September 2017
Rated Good; inspectors found safe, kind and person-centred care, with water temperature checks and one police notification issue identified.
This was an unannounced inspection on 1 September 2017. One inspector spoke with people, staff and professionals, reviewed care and staff records, and checked medicines and management arrangements.
The home supported seven adults with mental health needs, with space for up to eight people. Inspectors found enough staff, safe medicines processes, detailed risk plans and staff who understood people's needs.
People described staff as friendly and helpful. Staff supported people's choices, relationships, health, recovery and independence. All five areas were rated Good, the same as at the October 2015 inspection.
Inspectors found that recent water temperature checks were above recommended levels, creating a scalding risk. The home said thermostatic valves had been fitted after the inspection. A police-related incident had also not been reported to the CQC as required.
Enough staff
Inspectors found there were enough staff to meet people's needs, including support in the community and at healthcare appointments.
“There continued to be sufficient staff to meet people's needs.” from the report
Support for independence
Staff helped people relearn daily living skills, take ownership of their recovery and move towards more independent living.
“This supported people to take ownership of their recovery and progress towards more independent living.” from the report
Respectful relationships
People felt able to speak openly with staff. Staff respected privacy, dignity, choices and personal preferences.
“Staff had built trusting relationships with people. People felt comfortable speaking with staff” from the report
Good oversight
The provider used meetings, audits and feedback to check the service and identify improvements.
“These meetings were used to review key data about the service, including reviewing incidents, complaints, safeguarding concerns, staff training requirements, vacancies and any feedback received.” from the report
Water temperature risk
seriousThe latest water temperature checks were above recommended levels, creating a risk that people could be scalded. The home said thermostatic valves had been installed on all water outlets after the inspection.
“most recent water temperature checks were above the recommended temperatures meaning there was a risk that people may scald themselves.” from the report
Missed police notification
needs fixingA recent incident involving the police had not been reported to the CQC as required by law. The registered manager said this would be done in future.
“a recent incident involving the police had not been notified to us as required by law.” from the report
- 01Have the thermostatic valves on all water outlets remained in place and how are water temperatures checked now?
- 02What is the current process for reporting police incidents and other events to the CQC?
- 03How will staff support my relative to build daily living skills and work towards greater independence?
- 04How are people's crisis plans reviewed and followed if their mental health declines?
- 05How will my relative and our family be involved in care planning and feedback about the service?
This was an unannounced inspection covering all five CQC questions and included discussions with people, staff and professionals, records checks, medicines checks and management checks. This explanation was written from the published report of 22 September 2017 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 Manor
3 rated inspections over 4 years: the service has held its Good rating throughout.
- April 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- May 2012
Registered with the Care Quality Commission on 24 May 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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