Background to this inspection
Updated
16 March 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 30 January and 2 February 2015 and the first day was unannounced. The inspection was carried out by one inspector.
Before the inspection we reviewed the information we held about the service, including notifications. We also asked from feedback from the local authority contracts unit.
During the inspection, we used a number of different methods to help us understand the experiences of people who lived in the home. We spoke with ten people who used the service and two relatives. In addition we spoke with the registered manager, two members of the care team, the administrator and the cook.
We looked at a sample of records including four people’s care files and other associated documentation, two staff recruitment files, minutes from meetings, complaints records, 32 people’s medication records, policies and procedures and quality audits.
Throughout the inspection we spent time in the home observing the interaction between people living in the home and staff.
Updated
16 March 2015
We carried out an inspection of Beech Grove Care Home on 30 January 2015 and 2 February 2015. The first day was unannounced. We last inspected Beech Grove on 26 November 2013 and found the service was meeting the current regulations.
The home is registered to provide accommodation and personal care for up to 33 older people. At the time of the inspection 32 people were accommodated in the home. The home is located in a residential area near to the centre of Clitheroe. Accommodation is provided on two floors in 31 bedrooms and one shared bedroom. 13 of the bedrooms have an ensuite facility.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe and were well cared for in the home. Staff knew about safeguarding and we saw concerns had been dealt with appropriately, which helped to keep people safe.
As Beech Grove is registered as a care home, CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We found appropriate mental capacity assessments had been carried out and applications had been made to the local authority for a DoLS. Staff had completed training and had a working knowledge of the Mental Capacity Act 2005.
Staff had been trained to handle medication and records gave detailed information about people’s medication requirements. Records and audits were in place which ensured people received their medication in a safe manner.
We found staff recruitment to be thorough and all relevant checks had been completed before a member of staff started to work in the home. Staff had completed relevant training for their role and they were well supported by the management team.
Staff were aware of people’s nutritional needs and made sure they supported people to have a healthy diet, with choices of a good variety of food and drink.
People had opportunities to participate in a variety of activities and we observed staff actively interacting with people throughout our visit. All people spoken with told us the staff were caring, compassionate and kind. We saw that staff were respectful and made sure people’s privacy and dignity were maintained. People and their relatives spoke positively about the home and the care they or their relatives received.
All people had a detailed care plan which covered their needs and any personal preferences. We saw the plans had been reviewed and updated at regular intervals. This meant staff had up to date information about people’s needs and wishes.
All people, their relatives and staff spoken with had confidence in the registered manager and felt the home had clear leadership. We found there were effective systems to assess and monitor the quality of the service, which included feedback from people living in the home.