Beaumont Park Nursing and Residential Home

Updated 15 June 2023

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 completed by 2 inspectors and an inspector from the CQC medicines team.

Service and service type

Beaumont Park Nursing and Residential Home 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. Beaumont Park Nursing and Residential Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, a manager was in post, and they were starting the process of registering with the CQC.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 10 relatives about their experience of the care provided. We spoke with 15 members of staff including care workers, senior care workers, domestic care workers, the cook, the manager and members of the management team.

We reviewed a range of records. This included 6 people’s care records and numerous medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, training data and quality assurance records were reviewed.

Updated 15 June 2023

About the service

Beaumont Park Nursing and Residential Home is a nursing home providing personal and nursing care to up to 46 people. The service provides support to people who may be living with a physical disability or dementia. At the time of our inspection there were 23 people using the service.

Beaumont Park Nursing and Residential home is split across two floors. People have access to their own personalised bedrooms and share communal areas such as lounges, bathrooms, dining areas and a secure garden.

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

People were not always treated with kindness and compassion and staff did not always respect people’s privacy and dignity. Staff were not consistently supporting people in line with their individual preferences, likes and dislikes. People were not being supported to engage in their chosen interests or social pastimes and went for long periods of time without interaction or engagement. Staff did not always support people to communicate and make their needs known effectively. People’s care plans did not contain detailed information about their personal preferences or how they liked to be supported, and in some cases known support needs such as living with dementia, did not have a care plan in place.

The management team completed audits to monitor the quality of the service, but these were not always effective in identifying where improvements were needed. There was a negative culture at the service and staff did not always feel supported by the management team. People. relatives and the staff team told us they felt more regular engagement with them was needed.

People felt safe living at the service, however some risks needed to be assessed more thoroughly and detailed more clearly in care plans. There were enough staff to support people safely, however staff told us they did not have time to support people outside of their essential care needs. We have made a recommendation that staffing be reviewed. The management team did not have formal systems in place to monitor the effectiveness of staff training or supervise them in their jobs. We could not be assured staff had the training to support people to eat and drink according to their needs. People’s changing needs were not always reassessed in a timely fashion.

Despite our findings some people and relatives were positive about their support. One relative said, ‘‘[Staff] always try their best to give [family member] the best experience. The service is everything we needed.’’

People were supported safely with their medicines. The service was clean, and staff followed good infection control processes. Staff were recruited safely. The management team had learnt lessons when things went wrong such as the monitoring of people’s pressure area care. Staff worked with health and social care professionals to promote good outcomes for people. 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.

We observed some kind and compassionate support from the staff team. Some staff knew people well as individuals and we received some positive feedback about staff support from people and relatives. The management and staff team worked well with partners such as the local authority and were keen to drive improvements at the service. They sent us immediate assurances to address the issues we found at this inspection.

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

Rating at last inspection

The last rating for this service was good (published 26 October 2022).

Why we inspected

We received concerns in relation to the management of people’s pressure area care, unsafe staffing levels and a large number of safeguarding concerns being raised about the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We inspected and found there were concerns with how people were treated with dignity, respect and person-centred care. We therefore widened the scope of this inspection to become a fully comprehensive inspection which included all key questions.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see all sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches of the regulations in relation to people not being supported with dignity and respect, people not being supported in a person-centred manner and the governance and leadership of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will also request an action plan from the provider. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.