Beanlands Nursing Home

Updated 8 September 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 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

An inspector undertook the inspection and an Expert by Experience. 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

Beanlands Nursing 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. Beanlands Nursing 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 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 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

During the inspection, we spoke with the nominated individual, registered manager, deputy manager, two nurses, one senior carer, six carers, one activity coordinator, one handy person and one domestic staff. We spoke with 10 people living at the service and four relatives. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed four medication administration records (MAR) and four care plans. We reviewed evidence following the inspection including training records, policies, team meetings and audits.

Updated 8 September 2022

About the service

Beanlands Nursing Home is a residential care home providing personal and nursing care to up to 45 people in three separate wings. One of the wings specialises in supporting people who need nursing care. The service provides support to people over the age of 65, people living with Dementia, people with physical disabilities and people with sensory impairments. At the time of our inspection there were 33 people using the service.

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

There were ineffective and incomplete management processes which did not identify all issues found on inspection. Improvements are needed to make sure audits identify all areas for improvements and when things go wrong lessons learnt reviews completed.

Fire drills were not completed monthly as recommended by the fire risk assessment. More time was needed to develop and embed management practices as these were not consistent or always effective in identifying areas for improvement.

The registered manager promoted a culture of providing high quality care and worked in partnership with other organisations.

Medication was managed safely and there were enough staff to provide safe care. Relatives were unable to visit Beanlands Nursing Home in line with government guidelines due to the providers policy. We have made a recommendation around this. Infection prevention and control practices were broadly compliant with recommendations.

Staff felt they had the skills and training to do the job and people were supported to eat and drink enough. People benefitted from care plans and risk assessments which covered all areas of their lives to receive person centred care. Staff worked with partner agencies to make sure people had access to health and social care services to live a healthy life. The premises were accessible and maintained to a good standard.

Staff were caring and provided people with high quality and compassionate care. People were always afforded privacy and respect.

The registered manager responded appropriately to complaints and staff felt skilled to provide high quality end of life care. The provider met the accessible information standards and there were a wide range of activities offered.

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.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 2 November 2022). This service remains requires improvement. This service has been rated requires improvement for the last two consecutive inspections. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulation 18. The provider remained in breach of regulation 17.

At our last inspection we recommended that the provider reviews best practice around hydration assessment and implement a robust monitoring process. At this inspection we found the provider had acted on the recommendations and had made improvements.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to the management oversight of the submission of notifications at this inspection and audits did not identify all areas of improvement required.

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 from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.