CQC report explained · a residential care home
What the CQC found at Beechville
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. They found suitable staffing, safe recruitment, safe medicines management and effective infection control.
- Effective?
- Good
- This question was not rated in this inspection report.
- Caring?
- Good
- This question was not rated in this inspection report, although people told inspectors they were well treated and respected.
- Responsive?
- Good
- This question was not rated in this inspection report, although inspectors found care plans covered areas such as nutrition, mobility and personal care.
- Well-led?
- Good
- Inspectors found an open culture, regular meetings, quality checks and systems for learning and improvement. Management cover had been maintained while the provider recruited a new registered manager.
What inspectors found, February 2024
Rated Good; inspectors found safe care and good oversight, while a permanent registered manager was still being recruited.
This was an unannounced inspection on 17 and 18 January 2024. One inspector and an Expert by Experience spoke with people, relatives, staff and managers. They reviewed care records, medicines records, recruitment files, training records, audits and other documents.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely, staffing levels were sufficient and infection control was effective.
People and relatives described kind and respectful care. Care plans included important information about people's needs, and staff worked with other professionals when needed. The provider had systems for complaints, quality checks and learning from incidents.
There was no registered manager in post at the inspection. Area managers and a deputy manager had provided permanent management cover, and recruitment of a new registered manager was nearly complete.
Safe care
Safeguarding systems, risk assessments and staff training helped protect people from abuse and avoidable harm.
“People were safeguarded from abuse and avoidable harm.” from the report
Suitable staffing
Inspectors found enough staff and safe recruitment checks. Staff showed knowledge of people's needs and a caring attitude.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Clean environment
The home was clean, and staff followed infection prevention and control procedures.
“The home was clean throughout, and we observed staff actively cleaning the premises during the inspection.” from the report
Good oversight
The provider used audits, meetings and feedback to monitor the service and identify learning.
“The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report
Registered manager vacancy
minorThere was no registered manager in post when inspectors visited. The provider was recruiting, and interviews were planned shortly after the inspection.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01Has a new registered manager now been appointed, and who will be responsible for the home until then?
- 02How are care plans for nutrition, mobility and personal care reviewed when people's needs change?
- 03How do you check that staffing levels remain sufficient on every household and shift?
- 04How often are medicines audits and staff medicines competency checks completed?
- 05What feedback and complaints have people and relatives recently raised, and what changes followed?
This was a focused inspection of Safe and Well-led; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 7 February 2024 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, February 2021
Beechville was inspected but not rated; inspectors were assured that infection control measures were in place.
This was an announced, targeted inspection on 18 February 2021. Inspectors looked at infection prevention and control measures, rather than the home's overall quality.
Inspectors were assured that visitors were screened, tested for COVID-19, given masks and hand sanitiser, and kept separate from people living in the home. They also found planned window visits, regular enhanced cleaning, suitable personal protective equipment and arrangements for isolation.
Inspectors were assured that staff understood COVID-19 symptoms, testing and contact tracing. They also found that admissions from hospital, other care homes and the community followed current guidance.
The overall service and Safe rating were both recorded as 'Inspected but not rated'. This report therefore gives no formal quality rating for the home.
Visitor infection checks
Professional visitors were screened, tested, given masks and provided with hand sanitiser before entering. They had minimal contact with staff and no contact with residents.
“Professional visitors to the service were screened for symptoms of infection, tested for COVID-19, supplied with masks and given access to hand sanitizer prior to entering the home.” from the report
Planned visits
Individual visit plans and a booking system were in place. The arrangements allowed time for cleaning between closed-window visits.
“Individual visit plans were in place for people who used the service and their relatives.” from the report
Staff infection control
Staff used PPE appropriately, had training in testing and contact tracing, and an infection control lead oversaw the arrangements.
“Staff had a good understanding of symptoms of COVID-19 and had undertaken training in Lateral Flow Device (LFD) testing and test and trace.” from the report
Safe admissions
The home had arrangements for admitting people from hospital, other care homes and the community in line with current guidance.
“Admissions from hospital, other care homes and the community were undertaken safely in line with current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are individual visit plans being reviewed and updated for residents and their relatives?
- 02What testing is currently required for staff and visitors before entering the home?
- 03How are cleaning schedules and PPE use checked in practice?
- 04What arrangements are used to isolate or cohort residents if there is an infection outbreak?
- 05How are new admissions from hospital, another care home or the community assessed and managed?
This was a targeted inspection of infection prevention and control measures, including the Safe question; the other quality areas were not assessed or rated. This explanation was written from the published report of 27 February 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.
Every inspection of Beechville
3 rated inspections over 8 years: the service has held its Good rating throughout.
- February 2024Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 22 December 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Bolton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.