Beeston View

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We reviewed 2 quality statement for this key question. As we did not open more quality statements to assess the service, this has not changed the overall rating from the provious inspection and did not currently reflect the improvements assessed at the service to date, at the next scheduled assessment more key questions will be assessed. The registered manager and provider were committed to the continuous development of the service. They assessed the quality of the service to drive additional improvements. The provider had effective quality monitoring systems in place. Action plans were produced from audits and they were used to continually review and improve the service. There was a culture of consulting with and involving people as much as possible in making decisions regarding their own care and support. The home had a positive culture that promoted people's choice and independence. People and relatives praised the atmosphere at the home and the approach from the registered manager and staff members. One person said, "Without doubt the staff know mum really well and always show utmost dignity."

This service scored 57 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff were aware of the services vision and values, and how these were put into practice in care. Staff felt there had been improvements in management, and the new manager was providing support and giving a clear direction for improvement. Staff morale was much better, and the culture of the organisation was improved. Team meetings seem to have been infrequent in the past but this was improving. Most staff feel that they get a response to issues raised, but some staff members feel their concerns don't get addressed.

We saw that staff had clear pathways to speak up and feel valued and part of the service, feedback from staff confirmed this. Staff were aware of the services vision and values, and how these were put into practice in care. Staff felt there had been improvements in management, and the new manager was providing support and giving a clear direction for improvement. Staff morale was much better, and the culture of the organisation was improving.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff feedback was overall positive for the improvements in the service, they felt they knew their roles and responsibilities and were able to approach the new manager for advice and support. Staff were knowledgeable about the people they care for and support, they felt confident in finding the information they required and using the systems to support their roles. The manager has clear lines of responsibilities and has made positive changes to the service to date and has action plans to continue to do so while embedding the new practices in place.

There were a schedule of audits and checks in place to identify areas for improvement, this also fed into the quality improvement review. The actions generated from the auditing and review process is validated and signed off by the regional director. The registered manager had made all notifications to CQC as required. There were policies and procedures regarding quality assurance and the service evidenced that they sought feedback from people, families and the staff team, this also included external professionals. The service held daily stand up meetings in the morning as well as a focus on the clinical aspects with the staff teams on duty that day, this was to drive improvements in the service. Not all staff files reflected safe recruitment procedures as there were unexplained gaps in employment history in two of the files reviewed and one staff members interview record did not reflect appropriate questions for the role applied for. We found that the systems were in place to manage DoLS but were not kept up to date. DoLS authorisations, and conditions attached were not incorporated within people's plans of care.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.