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CQC report explained · a residential care home

What the CQC found at Beech Spinney

Goodpublished 4 May 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control arrangements were safe. This included PPE, testing, social distancing, hygiene, admissions and outbreak management.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, January 2021

Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.

This was a targeted inspection on 17 December 2020. It focused on infection prevention and control during the coronavirus outbreak. The visit was announced.

Inspectors found good practice. Staff were trained in infection control and used personal protective equipment in line with guidance. People who tested positive for Covid-19 were isolated and supported by a separate staff team.

Inspectors were assured about visitors, social distancing, admissions, PPE, testing, cleanliness and outbreak management. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Infection control training

    Staff had full training in infection prevention and control and used PPE in line with current guidance.

    “People were supported by staff who were fully trained in infection prevention and control and wore Personal Protective Equipment (PPE) in line with current guidance.” from the report
  • Managing positive cases

    People who tested positive for Covid-19 were isolated promptly and supported by a separate staff team.

    “Where people had tested positive for Covid-19, they were self isolated immediately and supported by a separate cohort of staff in a self contained unit to reduce the risk of transmission.” from the report
  • Health information

    Virtual health reviews were used to keep Covid-19 passports comprehensive and up to date in case someone needed hospital care.

    “This ensured that if a person was admitted to hospital due to Covid-19, information regarding their health was comprehensive and up to date.” from the report
  • Mental capacity decisions

    Capacity assessments were completed when needed, with relevant professionals involved in best-interest decisions about testing.

    “Mental capacity assessments had been completed when required and where people were assessed as lacking capacity to consent to testing, relevant professionals had been involved to make least restrictive decisions in people's best interests.” 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 supporting visits from relatives, and have the independent window visits continued?
  2. 02How would you isolate and support someone who tested positive for Covid-19 now?
  3. 03How do you currently provide testing for people living in the home and for staff?
  4. 04How are Covid-19 passports kept up to date after health reviews?
  5. 05How often does the pandemic committee meet, and how does it check that current infection control guidance is being followed?

This was a targeted inspection of infection prevention and control practices during the coronavirus outbreak; it did not rate the other areas of care. This explanation was written from the published report of 23 January 2021 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, May 2019

Beech Spinney was rated Good in all five areas; inspectors found safe, kind and personalised care.

This was an unannounced, planned inspection on 26 March 2019. One inspector spoke with people, staff and the manager, observed care, and checked care records, medicines, staffing, training, complaints, incidents and quality checks.

The home was supporting seven people with learning disabilities and/or autism. Inspectors found enough trained staff, safe medicines systems, suitable risk assessments and clean surroundings. Staff treated people with kindness, protected their privacy and supported their choices and independence.

Care plans were individual and regularly reviewed. People were supported with food, healthcare, activities and communication. The home had systems to listen to people's views, deal with complaints and check the quality of care.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good at the previous inspection, published in May 2016.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to meet people's needs, including two-staff support when required. Recruitment checks were followed to ensure suitable staff were employed.

    “There were enough staff to meet people's needs.” from the report
  • Kind and respectful care

    Staff understood people's individual ways of communicating and supported their dignity, privacy and relationships.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised support

    Care plans included people's preferences, interests, communication methods and details about how staff should support them.

    “Each person had an individualised care plan which contained details of known preferences and interests alongside their support needs.” from the report
  • Good oversight

    The manager used audits, feedback and regular meetings to check the service and address any problems found.

    “When the quality assurance audits indicated any shortfall or an issue, the registered manager addressed these.” 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 will you support my relative's preferred way of communicating, including any use of gestures, Makaton, symbols or easy-read information?
  2. 02What activities would be available for my relative, and how would their interests and choices shape the weekly plan?
  3. 03If staff are absent, who would support my relative and how would you ensure they are known to them?
  4. 04Does my relative need a Deprivation of Liberty Safeguard authorisation, and what is the current position if an application is waiting?
  5. 05How will my relative and our family be involved in reviewing their care plan and checking the quality of support?

This was a planned, unannounced inspection covering all five CQC questions, and the home was rated Good in each area. This explanation was written from the published report of 4 May 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.

The story over the years

Every inspection of Beech Spinney

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

  1. January 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Beech Spinney →

  2. May 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Beech Spinney →

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Registered with the Care Quality Commission on 15 August 2013.

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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Most charge £980 to £1,200 a week. 88 can care for a couple. 10 years' experience on average.

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