Background to this inspection
Updated
2 March 2022
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.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 9 February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
2 March 2022
About the service
The Beeches (Doncaster) is a residential care home providing personal to 31 people aged 65 and over at the time of the inspection. The service can support up to 32 people. Some people using the service were living with dementia.
People’s experience of using this service and what we found
The provider had a system in place to ensure people were safeguarded from the risk of abuse. Staff knew how recognise and report abuse. Medicines were managed in a safe way. Risks associated with people's care had been identified and appropriately managed to ensure risks were minimised.
Lessons were learned when things went wrong. The registered manager kept a record of accidents and monitored the outcome. The home was clean and fresh. However, we saw some areas of the home required attention. The registered manager told us these areas had been identified and action was ongoing. Some actions from the last fire officer visit had not been completed. The registered manager told us they would address this and email the lead inspector following our inspection.
People's needs were assessed and care and support was delivered appropriately. The home was working in line with the principles of the Mental Capacity Act. Best interest decisions had been made when required and in the least restrictive way. 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.
People received a balanced and varied diet which met their needs and suited their preferences. Staff we spoke with told us they felt supported by the registered manager and received training.
We observed staff interacting with people and found them to be caring and friendly. Privacy and dignity was maintained. There was a focus on people making choices and staff ensured preferences were adhered to. Positive feedback received from relatives and people living at the home.
Care plans we saw were person centred and were in line with people's assessed needs. Staff knew people very well. The provider employed a well-being co-ordinator who arranged activities and social stimulation. We observed people had access to varied activities. The provider had a system in place to monitor and deal with complaints. End of life care was documented in people's care plans.
The provider had a system in place to monitor the service. Several audits took place and any issues arising were addressed. Relatives and people who used the service had opportunities to feedback their experience. Staff felt listened to and included in the service.
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 28 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.