We carried out a review of the data available to us about Beverley Court Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Beverley Court Residential Home, you can give feedback on this service.
People’s experience of using this service and what we found
Systems were in place to maintain people's safety and protect them from abuse. Risks were identified, appropriate control measures were implemented, and the safety and cleanliness of the environment was maintained. Systems were in place to recruit staff safely and administer medicines as prescribed.
People were supported to access appropriate healthcare services. Professional advice was sought and followed. People received good support with their nutritional needs. Staff were equipped with relevant skills and were supported in their role.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported by staff who were kind and caring. Staff promoted people's privacy, dignity and independence. There was a homely atmosphere and people appeared relaxed in their surroundings.
Staff were responsive to people's needs and provided support in line with their preferences. People were supported to access stimulating activities and follow their interests. People and relatives felt able to raise concerns and their feedback was sought.
There was a positive culture within the service; staff felt supported and worked as a team well. The management team were approachable and accessible. Systems were in place to improve the quality and safety of 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 24 December 2016).
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.
This inspection took place on 14 November and was unannounced. The service was last inspected February 2016 and was found to be non-complaint with three of the regulations inspected at that time. Parts of this inspection checked whether the registered provider had complied with the actions we told them to take following the last inspection.
At the time of this inspection there were 28 people were living at the service.
There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Following the last inspection we told the registered provider to take action to comply with breaches of regulation. They sent us an action plan which detailed how they were to achieve this. We looked at the improvements they told us they had made at this inspection and found they had complied with the regulations. This was with regard to gaining consent to care and treatment, protecting people who needed support with making informed decisions, reviewing and gaining people’s views about the service provided and sending the CQC relevant notifications about any events which affected the smooth running of the service or the welfare of the people who used the service.
People were cared for by staff who had received training in how to protect them from harm. Staff understood how to report any abuse to the relevant authorities. They could describe the registered provider’s procedures and understood they had duty to report abuse and protect people from harm. Staff, who had been recruited safely, were provided in enough numbers to meet the needs of the people who used the service. An analysis of all accidents and incidents was undertaken by the registered manager to identify any trends or patterns. This meant people’s needs could be reassessed or more training could be provided if any issues were identified. People’s medicines were stored and administered safely.
Staff received training which was relevant to their role and equipped them to meet the needs of the people who used the service. This training was updated regularly. Consent was gained before care and support was delivered and the principles of the Mental Capacity Act 2005 were followed within the service. People were supported to eat a balanced diet of their choosing; dietary requirements were catered for, for example, high calorific fortified diets and diabetic diets. A range of healthcare professionals were involved in the care and treatment of the people who used the service.
People told us they were supported by kind and caring staff who knew their preferences for how care and support should be delivered. During observations it was clear caring relationships had developed between the people who used the service and staff. People’s privacy and dignity was respected by staff who encouraged people to be independent and make choices and decisions in their daily lives. Private and sensitive information was stored confidentially.
People were involved with initial assessment and reviews of their care and support. Their levels of independence, individual strengths and abilities were recorded. People were encouraged to maintain relationships with important people in their lives and to take part in a range of activities inside and outside of the service. The registered provider had a complaints policy which was made available to people who used the service. When complaints were received they were responded to in line with the registered provider’s policy and this information was used to develop the service, whenever possible.
Staff told us the manager was approachable, supportive and listened to their views regarding developing the service. A quality assurance system was in place to ensure shortfalls in care and support were identified and to drive the continual improvement of the service. The registered manager understood their responsibilities in relation to reporting accidents, incidents and other notifiable incidents to the CQC as required. Meetings were held with staff and people who used the service to ensure their views were known and could be acted upon.
This inspection took place on 17 & 18 February 2016 and was unannounced. The service was last inspected 5 August 2013 and was found to be compliant with the regulations inspected at that time.
At the time of the inspection 30 people were living at the service.
There was a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The principles of the Mental Capacity Act 2005 had not been followed and systems were not in place to ensure people were protected by legislation when their liberty was compromised or they needed support with making informed decisions and choices. People had not been consulted on a regular basis about the running of the service and no reports had been produced which showed how the service would be improved and any issues raised through consultation addressed. These are both breaches of the Health and Social Care Act Regulations and you can see what action we have told the provider to take at the end of this report.
Staff were able to describe to us what action they would take if they suspected anyone who used the service was subject to abuse. They had received training in this area. Accidents and incident had been recorded but no analysis of these had been undertaken to identify patterns or trends, no learning had been identified so practise could change and ensure people were kept safe in the future. The registered manager had notified the local authority of safeguarding incidents but had not notified the CQC. We have made a recommendation about this. People’s medicines were handled safely and staff had received training in this area. Staff who had been recruited safely were provided in enough numbers to meet the needs of the people who used the service.
People were provided with a wholesome and healthy diet which was of their choosing. Staff monitored people’s dietary needs and made referrals to appropriate health care professionals when required. Staff received training which equipped them to meet the needs of the people who used the service. Staff training was updated on a regular basis and they were supported to gain further qualifications and experience in their role. People were supported to access health care professionals when they required them and staff supported them to lead a healthy lifestyle.
People were cared for by staff who were kind, caring and who understood their needs and how to best meet these. Staff understood the importance of respecting and upholding people’s rights and dignity and could describe how they would do this. People or their representative had been involved with the formulation of their care plans.
Staff had access to information which described the person, their likes, their dislikes and preferences. The information was updated as and when any changes were identified and regular reviews were held to assess the effectiveness of the care people received. People who used the service had access to a range of activities and were supported to pursue individual hobbies and interests. People who used the service or their relatives could raise concerns and complaints with the provider and these would be investigated wherever possible to the satisfaction of the complainant.
The registered manager undertook audits to ensure people lived in a well-run, safe service. Meetings were held with the staff and people who used the service. Staff, people who used the service and their relatives found the registered manager approachable and helpful. Equipment used at the service was regularly maintained and any repairs were quickly undertaken.
People told us they were happy with the care provided. One person said, 'The girls are very caring they help me a lot.' Another said, 'It is excellent here, you just can't fault it.'
We found information was available for staff to follow which ensured people who used the service were cared for in a way which was of their choosing and met their needs.
The home was clean, tidy and generally free from mal-odours. People were happy with the cleanliness of the home. One person said, 'The cleaners are really good. They come into my room every day and give it a good clean.'
There were enough staff on duty to meet people needs. People told us they never felt neglected due to lack of staff; one person said, 'If I ring my buzzer the staff are here really quickly.'
Relatives told us the staff made them feel welcome when they visit and they could visit at any time.
People told us they felt safe and would approach the manager if they had any concerns or worries; one person said 'I would go straight to the boss.' They told us they felt their opinions were taken seriously and any concerns would be acted on. Relatives told us they knew about the complaints procedure and felt they could approach the manager if they had any concerns.
People told us they felt the staff were well trained and could meet their needs. Relatives also told us they felt the staff were well trained and competent to do their jobs.
They also told us the care staff were very kind and helpful and one person told us 'If I want anything all I have to do is ask or press my buzzer and the staff are there.' Another person told us they had been involved with their care plan and had attended reviews.
People we spoke with told us they would see the manager or speak to the staff if they had any concerns and they were involved in meetings and they could have a say about how the home was run.