• Care Home
  • Care home

Beechwood Gardens

Overall: Good read more about inspection ratings

71-73 Rochester Road, Coventry, West Midlands, CV5 6AF (024) 7671 3654

Provided and run by:
Mr & Mrs B Peggs

Latest inspection summary

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Background to this inspection

Updated 4 March 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 included checking the provider was meeting COVID-19 vaccination requirements. 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

One inspector carried out the IPC inspection on 11January 2022. Two inspectors and an Expert by Experience carried out the second part of the inspection on 02 February 2022. An Expert by Experience is a person with personal experience of using or caring for someone who uses this type of service.

Service and service type

Beechwood Gardens 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.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 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

We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, senior carers, carers, housekeepers and the chef. We carried out general observations of the way people were supported and 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 a range of records. This included three people’s care records, daily logs, and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at audits, risk assessments and other quality assurance records.

Overall inspection

Good

Updated 4 March 2022

About the service

Beechwood Gardens is a residential care home providing accommodation and personal care to 20 people living with dementia. At the time of the inspection 16 people were living in the home and two people were in hospital.

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

People’s risk and needs were assessed and managed although records would benefit from having more detail in them to support staff in managing people’s risks. Infection prevention and control concerns had been raised during the first day of inspection, but these had been addressed and improvements made before the second day of inspection.

The registered manager had oversight of the home, but quality assurance systems were not always robust enough to identify shortfalls or areas for improvement as identified in the areas relating to IPC during the first inspection.

Medicines were well managed. Staff had received training and support to ensure medicines were managed safely.

People and relatives were happy with the care provided. Staff knew people extremely well and this was evident in the care provided so people felt safe in the home.

Staff had confidence in the registered manager. They were supported and happy and felt able to contribute in all aspects of the care provided.

Rating at last inspection and update

The last rating for this service was good (published 16 December 2017).

Why we inspected

We inspected and found there was a concern with infection, prevention and control, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this 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.

The provider had taken action to mitigate the risks identified during the first day of inspection and had an action plan in place to continue to make the improvements needed.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beechwood Gardens on our website at www.cqc.org.uk.

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.