CQC report explained · a residential care home
What the CQC found at The Beeches Residential Care 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, social distancing, cleaning, safe admissions and outbreak management.
- Effective?
- Good
- This was a targeted inspection of infection prevention and control, so this question was not assessed.
- Caring?
- Good
- This was a targeted inspection of infection prevention and control, so this question was not assessed.
- Responsive?
- Good
- This was a targeted inspection of infection prevention and control, so this question was not assessed.
- Well-led?
- Good
- This was a targeted inspection of infection prevention and control, so this question was not assessed.
What inspectors found, April 2021
Inspected but not rated; inspectors found strong infection control arrangements during a targeted COVID-19 inspection.
Inspectors visited the home on 24 March 2021. The visit was announced and focused on infection prevention and control during the COVID-19 pandemic.
They found a separate visitor area, information for visitors, effective use of PPE and social distancing, and arrangements for testing. Staff wore photographic badges to help residents recognise them while wearing PPE.
Inspectors were assured that the home managed infection risks, including safe admissions, cleaning, hand hygiene, outbreaks and its infection control policy. The home was inspected but not rated, so this report does not give an overall quality rating.
Safer visits
Visitors could use a designated area without entering the main building. This reduced contact with residents and staff.
“There was a designated area for visitors which could be accessed without entering the main building.” from the report
PPE and distancing
Inspectors observed staff following PPE and social distancing guidance. Photographic badges helped residents recognise staff wearing PPE.
“Our observations during the inspection provided assurance that staff were adhering to Personal Protective Equipment (PPE) and social distancing guidance.” from the report
Checks on infection control
The home checked staff practice, including hand hygiene, using observed assessments and an ultraviolet light device.
“Staff compliance with infection prevention and control procedures was monitored through a process of assessments.” from the report
Cleaning arrangements
The home had detailed cleaning schedules and regularly cleaned touch points and busy areas.
“There were comprehensive cleaning schedules in place with frequent cleaning of touch points and high traffic areas to provide assurance of a regular cleaning regime.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staff currently checked for compliance with infection prevention and control procedures?
- 02How are visits arranged now, and is there still a separate area that avoids contact with other people?
- 03How often are touch points and high-traffic areas cleaned, and how is this recorded?
- 04How do you manage testing and safe admissions for people moving into the home?
- 05How do you identify and manage any infection outbreaks?
This was an announced targeted inspection of infection prevention and control measures during the COVID-19 pandemic; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 23 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, May 2019
The Beeches Residential Care Home was rated Good; inspectors found kind, safe care, with some care records and medicines checks needing improvement.
This was an unannounced inspection on 3 and 4 April 2019. Inspectors reviewed information held about the home, spoke with people, relatives, staff and healthcare professionals, observed daily care, and checked medicines, care records and other service records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, good support with food and healthcare, and care that respected people's dignity, choices and independence.
People and relatives spoke positively about the home. Staff were described as kind and patient, and inspectors saw a warm, clean environment with activities and personalised support. However, some care plans were not updated quickly or in enough detail, and records for prescribed creams did not show where they had been applied.
The home had systems to monitor quality, but a small number of issues had not been identified through audits. The provider agreed to make improvements, and no enforcement action was required.
Kind and respectful staff
Inspectors saw staff treating people with kindness and compassion. People said staff knew them well and respected their privacy and dignity.
“We saw staff demonstrate a kind and compassionate, can-do attitude.” from the report
Enough staff
Inspectors observed enough staff to meet people's needs without keeping them waiting. Recruitment checks included DBS checks and two references.
“Our observations throughout the day found there were enough staff to meet people's individual needs without keeping them waiting.” from the report
Personalised support
Care was planned around people's preferences, communication needs, interests and faith. People were offered activities and choices about how they spent their time.
“People's needs were met through good organisation and delivery.” from the report
Good food and healthcare support
People had choices at mealtimes and their dietary needs were recorded. Staff contacted healthcare professionals when people became unwell or lost weight.
“We saw that people's nutritional needs were catered for and they were given a choice of what they wanted to eat.” from the report
Personalised end of life care
The home recorded people's end of life wishes and made arrangements to support relatives and religious preferences.
“An end of life care plan was completed which recorded information about the person's wishes in the event of their death.” from the report
Care records not always up to date
needs fixingSome care plans did not show changes in people's needs quickly or in enough detail. Staff knew people well, but records still needed improvement.
“In some instances, people's care plans had not been updated quickly and in enough detail to show a change in need.” from the report
Creams records incomplete
needs fixingRecords showed that prescribed creams had been given, but body maps did not show where they had been applied. The manager agreed to put this right.
“We saw records to say that prescribed creams had been administered but body maps had not been completed to show where.” from the report
Audits missed some issues
minorQuality monitoring was in place, but a small number of problems had not been picked up. The medication audit did not include prescribed creams and was amended during the inspection.
“The service had a range of quality monitoring arrangements in place, although we found a small number of issues that had not been picked up.” from the report
- 01How are care plans updated when a person's needs or risks change?
- 02How do you now record where prescribed creams have been applied, and how is this checked?
- 03What changes have been made to the medication audit since the inspection?
- 04How will you make sure quality checks identify problems that staff records or audits may miss?
- 05How are relatives involved in reviewing care plans and end of life wishes?
This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 15 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.
Every inspection of The Beeches Residential Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at The Beeches Residential Care Home →
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Beeches Residential Care Home →
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- July 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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