Beech Grove

Updated 18 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector and a member of the medicines team.

Service and service type

Beech Grove is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Beech Grove is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, occupational therapy assistant, team leaders and senior support workers. We reviewed a range of records. This included four people’s care records and six medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 18 August 2022

About the service

Beech grove is a residential care home providing personal care to up to six people. The service provides support to people who need support with their mental health. At the time of our inspection there were six people using the service. The service is a large detached building with en-suite accommodation and communal areas over three floors.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, documentation was not always in place when required. We have made a recommendation in relation to the Mental Capacity Act.

People told us they felt safe and happy living at the service. There were enough staff to meet people’s needs and safe recruitment processes were in place. Medicines were safely managed but documentation needed reviewing to ensure it was accurate and reflected risk.

Staff received a thorough induction and on-going training which they effectively put in to practice to support people with complex mental health needs.

The environment was modern, spacious and well-maintained to meet the needs of people. Regular safety checks were in place to ensure the safety of the environment and equipment including fire drills.

People were encouraged to be as independent as possible with activities of daily living including food preparation. Educational work and activities were in place to support people with maintaining a healthy diet and lifestyle.

Staff were kind and caring and empowered people to be involved in their care and treatment. Staff felt valued and supported by leaders in the service and were comfortable to raise concerns.

The service worked well with a variety of other partner agencies to promote good outcomes for people and keep people safe.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 18 March 2021 and this is the first inspection.

Why we inspected

This inspection was carried to assess the service and provide a rating following registration.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We have made a recommendation around the application of the Mental Capacity Act.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.