Background to this inspection
Updated
29 February 2020
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.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Beach Crest is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 used the information the provider sent us in the provider information return. This is information providers are required to send us 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 this information to plan our inspection.
During the inspection-
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke to four members of staff including the registered manager, care workers, the cook and housekeeper. We reviewed a range of records including two staff files in relation to recruitment, training and supervision. We also looked at two people’s care records and medicine charts and 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 topical cream charts.
Updated
29 February 2020
About the service
Beach Crest is a residential care home providing personal care to11 older people at the time of inspection. The service is registered to accommodate up to 11 people.
People’s experience of using this service and what we found
People told us they felt safe. Staff understood their role in recognising and reporting poor practice and suspected abuse. Risks to people and their environment were assessed, monitored and reviewed regularly with staff understanding the actions needed to reduce the risk of harm to people. Staff had been recruited safely, with checks in place to ensure they are suitable to work with older people. Staffing levels were flexible and responsive to people’s needs and choices. Medicines were administered safely but not in line with best practice guidance.
We have made a recommendation that the provider review current guidance on the administration of medicines and update their practice accordingly.
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.
Staff received an induction and ongoing training and support that enabled them to carry out their roles effectively. Some refresher mandatory training was overdue, and the registered manager organised dates for staff during our inspection.
People had their eating and drinking needs understood and met including safe swallowing diets. A range of healthcare services were available for planned and emergency events. Information about key elements of a person’s care was shared with other health and social care professionals when transferring between services ensuring consistent, safe care.
Staff were described as kind and caring, providing care at a person’s pace. Relationships between people, their families and the staff were warm and friendly. People had their dignity, privacy and independence respected and felt involved in decisions about their day to day care.
Planned care was person centred, reflective of people’s lifestyle choices and responsive to changing needs. Staff knew people well and planned activities both in the home and community that were reflective of their past history and interests. People had an opportunity to be involved in end of life planning which reflected their spiritual and cultural needs. A complaints procedure was in place that people and their families were familiar with and felt any concerns would be listened to and acted upon.
The culture of the home was open and friendly with visible management and effective teamwork. Staff understood and spoke positively about their roles. Quality assurance processes were effective in monitoring quality and gathering and responding to feedback from people, families and the staff team.
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 3 June 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.