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CQC report explained · a residential care home

What the CQC found at The Beeches

Goodpublished 6 September 2024, 2 years ago

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

The latest report, explained

What inspectors found, January 2018

Rated Good; inspectors found safe, kind and personalised care, with some records and management checks needing attention.

This was an unannounced comprehensive inspection on 28 November 2017. The inspector observed care, spoke with relatives, the manager and staff, and checked care, medicines, staffing, complaints and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines processes, suitable training, respectful care and detailed support plans shaped around people's needs.

The home remained Good, the same rating as at the previous inspection. Inspectors noted a planned change of manager, some recent gaps in staff supervision and a need to record actions from comments and complaints more clearly.

What inspectors praised
  • Enough staff and safe recruitment

    Inspectors found sufficient staff to care for people safely. Recruitment checks were organised and included criminal records checks and annual declarations of good character.

    “Sufficient staff were available to ensure people could be cared for safely.” from the report
  • Kind and respectful care

    People appeared relaxed with staff. Their privacy, dignity, choices and independence were respected, including support to travel independently and use personal space.

    “People's privacy and dignity was respected and independence was encouraged.” from the report
  • Personalised support

    Care plans included people's needs, preferences and life history. People and relatives were involved, and activities were adapted to individual interests and abilities.

    “Each person a care plan in place that took into account their assessed needs and provided staff with clear information on how these were to be met in people's daily lives.” from the report
  • Support for health and communication

    Staff worked with healthcare professionals and recorded appointments and outcomes. Communication passports helped share important information about people's needs and preferences.

    “People's records included a 'communication passport'.” from the report
What inspectors were concerned about
  • Medication incidents

    needs fixing

    Three medicine incidents had occurred in the previous 12 months. No harm was reported, and the provider introduced a second signature system, reassessed staff competence and planned changes to the pharmacy and medicines system.

    “The PIR told us that there had been three medication incidents in the past 12 months, found by the provider's checking system.” from the report
  • Risk assessment still to be completed

    needs fixing

    A small number of radiators were unprotected. The deputy manager did not consider them a hazard because of their position, but said a full risk assessment would be completed.

    “They confirmed however that they would complete a full assessment of the risk to be robust in their approach.” from the report
  • Staff supervision had slipped

    needs fixing

    Formal staff supervision had not always taken place as often as planned. The deputy manager said this would be addressed before staff appraisals.

    “The deputy manager advised of some slippage in the frequency of formal staff supervision in recent months, which they would now address to be followed by staff appraisals.” from the report
  • Complaint actions not always recorded

    minor

    A neighbour's comment about noise had been recorded, but the home said it needed to keep clearer records of actions taken for all comments and complaints.

    “The acting manager told us that they would ensure clear records of actions taken would be completed in future in relation to all comments and complaints received.” from the report
Questions to ask them, based on this report
  1. 01Has the manager change been completed, and is the new manager registered with the CQC?
  2. 02Have formal staff supervisions and staff appraisals returned to the planned timetable?
  3. 03What changes were made to the pharmacy or medicines system after the three medication incidents?
  4. 04Has the full risk assessment for the unprotected radiators been completed?
  5. 05How are comments and complaints now recorded, including the action taken and the outcome?

This was an unannounced comprehensive inspection covering all five rating areas; the inspector observed the service, spoke with relatives, staff and managers, and reviewed two people's care and medicines records. This explanation was written from the published report of 9 January 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.

The story over the years

Every inspection of The Beeches

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

  1. January 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Beeches →

  2. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2011

    Registered with the Care Quality Commission on 26 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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