Beech Cliffe Grange

Updated 28 May 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 Care Act 2014.

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

Two Inspectors, and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Beech Cliffe Grange 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 Cliffe Grange 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 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. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, and care workers.

We observed staff interacting with people. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment. We reviewed a variety of records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 28 May 2022

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Beech Cliffe Grange is a residential care home providing support to adults with a learning disability and autistic people. At the time of the inspection there were nine people using the service. The service can support up to eleven people.

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

We looked at the key questions of safe and well led and found the service was able to demonstrate they were meeting the underpinning principles of Right support, right care right culture.

Right Support

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Support was planned in people’s best interests.

Risks associated with people’s care and support were assessed, monitored and managed to ensure people were safe. People were supported by sufficient staff to meet their needs and ensure people’s preferences were adhered to.

We found some minor concerns in relation to infection control; however, the provider took appropriate actions to ensure these concerns were rectified.

People’s needs were assessed, and support was provided in line with what people wanted and needed. People received good outcomes and met their health, social and emotional needs. People were supported by staff who knew them well. People received their medicines as prescribed.

Right Care

The management team and staff promoted person-centred care and ensured people’s privacy, dignity and human rights were upheld. Staff respected people and offered choices and supported them in making decisions. We found healthcare professionals had been referred to appropriately and staff ensured their support and advice was implemented.

Right culture

The ethos, values, attitudes and behaviours of leaders and care staff ensured people could lead confident, inclusive and empowered lives.

Staff felt supported be the management team and were confident when supporting people in situations where people could become distressed.

The overarching governance system included a series of audits which checked areas such as medication, infection control and the environment. Some issues identified during the environmental audit and infection control audit, had not been actioned and there was no timescale when these actions should be met. We recommended further detail and action was required to ensure the quality monitoring systems were effective.

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 12 January 2018).

Why we inspected

We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process. We also used this inspection to assess that the service is applying the principles of Right support right care right culture.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.