20 August 2019
During a routine inspection
Beckfield House Residential Home is a care home in the village of Heighington. It is registered to provide accommodation and personal care to 27 older people, some of whom may be living with dementia. At the time of our inspection, 21 people lived at the service.
People’s experience of using this service and what we found
People’s medicines were administered as prescribed. However, the provider’s medication policies and procedures were not always followed. Care plans did not always guide staff how to manage risks associated with people’s healthcare needs. Though staff were knowledgeable about the risks and the support people needed. Some areas of the service and equipment could not be appropriately cleaned due to being worn. We have made a recommendation about monitoring equipment. Quality assurance systems had not identified or resolved shortfalls in a timely manner.
People were happy with the care provided as staff were caring and respectful. People said, “I like it. It's friendly, cosy, like a home from home really. [Staff] are all very pleasant.” Staff respected people as individuals and supported people to maintain their independence. People told us staff maintained their privacy and dignity.
There was enough staff to meet people’s needs. Recruitment, induction and ongoing training processes helped ensure only suitable staff were employed and that they had the required skills and knowledge. Staff were supported by the management team and received supervision, appraisals and attended team meetings.
People were offered a variety of meals and staff worked to ensure people had options they liked. People were supported to access healthcare services and staff followed professional advice. People’s rooms were personalised, and signs were used to help people find their way around. Activities were available for people and visitors were welcome at any time.
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.
Relatives and staff were happy with the management of the service; they could approach them at any time, felt supported and were confident any issues would be quickly addressed. People, their relatives and staff were involved in the development 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 22 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to the management of medicines and the monitoring and addressing quality shortfalls at this inspection. 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 for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.