CQC report explained · a residential care home
What the CQC found at Beechcroft Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, social distancing, visitors and safe admissions.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, April 2021
Inspected but not rated; inspectors were assured about the home's infection prevention and control measures.
This was an announced, targeted inspection on 4 March 2021. It focused on whether the home was prepared to prevent and control COVID-19 infections.
Inspectors found good arrangements for visitors, testing, PPE, cleaning, social distancing and safe admissions. They were assured that the home could prevent or manage an infection outbreak.
The home was not given an overall quality rating. The Safe question was recorded as "Inspected but not rated". The other four areas were not assessed in this inspection.
Visitor safety
Visitors had to test negative, have their temperature checked and complete a risk assessment. Visits were booked and PPE was supplied.
“All visitors had to have a negative COVID-19 test before entering the home and their temperature was checked.” from the report
Clean environment
Inspectors described the home as clean and tidy. Extra cleaning was carried out during the day and at night.
“All areas of the home were spotlessly clean, tidy and homely.” from the report
PPE and testing
The home had plentiful PPE and regular COVID-19 testing for staff and residents.
“The staff team were tested regularly for COVID-19 – twice a week with a lateral flow test (LFT) and once a week with a full PCR test.” from the report
Outbreak planning
The home had plans for isolating people and zoning parts of the building if an outbreak occurred.
“If the service were to have an outbreak, there are two possible areas that could be zoned off.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visitors currently tested, checked and supported to use PPE?
- 03How often are staff and residents tested if someone becomes unwell or shows symptoms?
- 04What would happen if there was an infection outbreak in the home?
- 05How do you keep residents in contact with family when visits are restricted?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 9 April 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.
What inspectors found, April 2018
Beechcroft Residential Home was rated Good; inspectors found safe, caring and personalised support, with some improvements still planned.
This was an unannounced comprehensive inspection on 20 and 21 March 2018. One inspector and an expert by experience spoke with people living there, relatives, staff and health professionals. They also reviewed care records, medicines, staff files, training, maintenance records and audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, kind staff and care that reflected people's choices and needs.
Inspectors identified some areas to improve. New staff were not receiving enough regular formal one-to-one supervision, the menu's nutritional value had not yet been assessed, and accident monitoring could give a broader annual picture. The report says the registered manager planned changes.
The overall Good rating was unchanged from the previous inspection in February 2016. This means the inspectors judged the service to be performing well overall, although the report was based on the evidence available during these visits.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and found that medicines were given safely and on time.
“People received their medicines at the right times.” from the report
Kind and respectful care
Staff knew people well, respected their privacy and supported their independence and choices.
“People were supported by kind, respectful and caring staff that knew them well.” from the report
Personalised support
Care plans included people's histories, interests, preferences and daily routines. Staff changed support when people's needs or choices changed.
“People received responsive and personalised care. Care records were easy to understand, reviewed and kept up to date.” from the report
Health and staff training
Staff received training covering areas such as health, keeping people safe and dementia awareness. The home worked with health professionals to support people's ongoing needs.
“The training programme was used effectively to ensure staff knowledge and training was kept up to date and appropriate to meet people's needs.” from the report
Open management and improvement
People and staff felt able to approach the manager. The home used feedback, audits and action plans to identify improvements.
“Regular audits and checks were carried in all aspects of the service.” from the report
New staff supervision
needs fixingNew staff were not receiving enough regular formal one-to-one supervision to check their progress. The registered manager said changes would be introduced.
“From looking at the supervision arrangements we noted that new staff were not getting sufficient regular, one to one, formal supervision to monitor their progress.” from the report
Menu nutrition checks
needs fixingThe managers had received dietary and nutritional training, but the menu had not yet been assessed for its nutritional value. The provider said assessments would start.
“The managers had been on dietary and nutritional training but had yet to assess the menu for its nutritional values.” from the report
Accident monitoring
minorAccidents were recorded and monitored, but inspectors recommended an annual summary to give a wider view of the factors involved.
“We recommended that monthly monitoring of accidents should become an annual summary to give the registered manager a wider overview of the factors which contributed to accidents.” from the report
- 01What changes have been made to provide regular formal one-to-one supervision for new staff?
- 02Has the menu now been assessed for its nutritional value, and how are people's dietary needs checked?
- 03How are accidents reviewed over a longer period, and what changes have resulted from that review?
- 04How are people's care plans kept up to date when their needs, routines or choices change?
- 05How are people's views gathered and used to change activities, meals or daily support?
This was an unannounced comprehensive inspection covering all five questions, and all five ratings were assessed as Good. This explanation was written from the published report of 21 April 2018 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 Beechcroft Residential Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- August 2012
Registered with the Care Quality Commission on 2 August 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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