CQC report explained · a nursing home
What the CQC found at The Beeches Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staffing, recruitment, medicines, fire safety and risk management were found to be effective, although some masks were seen to have slipped or not fit securely.
- Effective?
- Good
- People's needs were assessed and reviewed. Staff were trained and supported, people received suitable food and healthcare, and consent and capacity were managed appropriately.
- Caring?
- Good
- Inspectors saw warm and friendly interactions. Staff knew people well, respected their privacy and choices, and supported independence.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and communication requirements. People were supported with activities, relationships, visits, complaints and end of life wishes.
- Well-led?
- Good
- The home had visible leadership, regular audits and opportunities for feedback. This rating improved from Requires Improvement because the electronic care planning system had been embedded and records had improved.
What inspectors found, November 2021
The Beeches Nursing Home was rated Good; inspectors found safe, kind and responsive care, with a minor concern about some face masks not being worn securely.
This was an unannounced inspection on 8 October 2021. One inspector spoke with people, relatives, staff and health professionals. They observed care and checked care plans, medicines, recruitment records, staffing information and safety documents.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated kindly, involved in decisions and supported to keep their interests and relationships.
The home had good systems for medicines, safeguarding, staffing, care planning, complaints and quality checks. Infection control arrangements were found to provide assurance, although inspectors saw some staff whose masks had slipped or were not fitted securely.
The overall rating stayed Good compared with the previous inspection. The Well-led rating improved from Requires Improvement because the electronic care planning system was now established and records were more accurate.
Kind and respectful care
Staff were described and observed as warm, kind and compassionate. They knew people well and supported privacy, dignity and independence.
“Throughout the inspection we saw warm and friendly interactions between staff and people.” from the report
Safe staffing and medicines
Inspectors found staffing levels suitable for people's needs and saw safe recruitment and medicines systems. Medicines records were completed accurately and checked regularly.
“Medicine Administration Records (MARs) were completed accurately.” from the report
Personalised support
Care plans covered people's individual needs, choices, communication and previous history. People and relatives were involved in decisions about care.
“Assessments and care plans were personalised, detailing people's individual needs and expected outcomes.” from the report
Activities and family contact
The home provided activities and supported people to maintain interests and relationships. Visits were enabled in line with the guidance in place at the time.
“We saw a full activities timetable which included trips out into the community and a weekly visit from the local church.” from the report
Improved leadership
Leadership and record keeping had improved since the previous inspection. The electronic care planning system was established and quality audits were used to identify and address shortfalls.
“At this inspection, the electronic system had been embedded and improvements had been made.” from the report
Some masks were not secure
minorInspectors saw staff whose masks had slipped or were not fitted securely. They gave feedback about this during the inspection.
“We did feedback that on occasion we observed staff with masks that had slipped or weren't fitted securely.” from the report
- 01How do you now check that staff wear face masks correctly and securely?
- 02Has the lift upgrade been completed, and how does it affect access between floors?
- 03How do you keep the electronic care records accurate when people's needs change?
- 04What activities are currently available for people who prefer to stay in their rooms or have particular interests?
- 05How will you involve our relative and family in care plan reviews and changes in care?
This was an unannounced inspection that assessed all five CQC questions and included checks of infection prevention and control measures. This explanation was written from the published report of 12 November 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, November 2020
Inspected but not rated; inspectors were assured that infection control measures were in place, with clean surroundings, safe visiting and activities for people.
This was an announced, targeted inspection on 21 October 2020. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors were assured about visiting arrangements, admissions, use of protective equipment, testing, cleanliness and hygiene. They were also assured that the home could prevent or manage infection outbreaks and had an up-to-date infection control policy.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating across all five areas of care.
Individual visiting plans
People had individual infection risk assessments, including arrangements for visits. The home made individual arrangements so people who wished to could see visitors.
“People had individual COVID-19 risk assessments. These included a section around visiting.” from the report
Clean surroundings
Inspectors found the home clean and tidy. There was a cleaning system with room checklists to help ensure areas were cleaned regularly and thoroughly.
“There was a cleaning system in place, including a checklist in each room to ensure all areas were regularly and thoroughly cleaned.” from the report
Activities and community access
Staff offered a wide range of activities, including personalised activities in people's rooms. People could also access the community if they wished, with infection control measures in place.
“Staff provided a wide variety of activities for people. This included personalised activities offered in individual rooms to reduce the risk of isolation.” from the report
Infection control procedures
Inspectors were assured that the home was following safe infection prevention and control procedures to protect people.
“We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How are individual COVID-19 risk assessments and visiting arrangements reviewed now?
- 02How are room cleaning checklists completed and checked?
- 03How do you provide and monitor protective equipment for staff and visitors?
- 04How are people and staff accessing infection testing?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control measures only, so the service was inspected but not rated overall. This explanation was written from the published report of 6 November 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.
Every inspection of The Beeches Nursing Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- April 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2018Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2015
Registered with the Care Quality Commission on 25 August 2015.
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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28 live-in carers within about an hour of West Sussex
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 £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.