Background to this inspection
Updated
1 April 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 02 March 2021 and was unannounced.
Updated
1 April 2021
About the service
Beechcroft Residential Home is a care home that provides personal care, over two floors. The service can support up to 50 people. When we inspected the service there were 46 people living at the home, some of whom had dementia.
People’s experience of using this service and what we found
Risks were not consistently managed. The providers systems and processes were not always effective at mitigating ongoing risk to people. We observed that staff did not always follow best practice and national guidance when administering medication.
Most people told us more staff were needed to meet their needs. Some steps had been implemented to improve staffing. Following our inspection, the provider told us that staffing levels day and night had been increased. This gave us assurance that people’s needs would be met effectively.
Staff knew people's needs and demonstrated a good understanding of the level of assistance people required. Staff were observed to be kind and caring. Staff spoke to people with dignity and respect and took the time to support and encourage people. Relatives and visitors to the home were made to feel welcome and spoke highly of staff.
People's dietary needs were met, and staff had the knowledge and understanding to support those who needed additional support at meal times. People had access to healthcare services where required. People were involved in decisions around their day to day care and were treated with dignity.
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.
The provider had systems in place to identify and support people's protected characteristics from potential discrimination. Protected characteristics are the nine groups protected under the Equality Act 2010. They include, age, disability, race, religion or belief etc. Staff members we spoke with knew people well and they could tell us about people's individual needs and how they were supported.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update.
The last rating for this service was good (published August 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to regulation 12 safe care and treatment and regulation 17 Good Governance. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.