• Care Home
  • Care home

Beachcroft House

Overall: Good read more about inspection ratings

111 Shirland Road, London, W9 2EL

Provided and run by:
GCH (Alan Morkill House) Limited

Latest inspection summary

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Background to this inspection

Updated 1 May 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. 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

The inspection team consisted of three inspectors, a member of the CQC medicine optimisation team, two Specialist Professional Advisors who were both registered nurses and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service. One of the inspectors and the Expert by Experience were not present at the inspection and carried out inspection related activities including phone calls to people, relatives and staff following the site visit.

Service and service type

Beachcroft House is a ‘care home’. People in care homes receive accommodation and nursing or personal are 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 that 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 held in relation to the service.

As part of CQC’s response to care homes with outbreaks of coronavirus, we conducted reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. We carried out a targeted inspection looking at the IPC practices Beachcroft House had in place on 22 January 2021 and were assured the service was safe.

The service experienced an extensive COVID-19 outbreak in January 2021 and was recovering from this outbreak at the time of our inspection visit.

We reviewed notifications about events at the service which the provider is required by legislation to inform us about, for example any safeguarding concerns. We sought and received feedback from the local authority and local health care professionals who work with the service. Information was received from the local authority quality assurance team, safeguarding adults lead, public health officer, GP and a specialist community nurse.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 11 members of staff including four care assistants, two team leaders, the chef, the deputy manager, the registered manager, the area manager and an activities organiser. We also spoke with the visiting GP. We met two people living at the service who wished to tell us about their positive experience of using the service but did not make formal arrangements to speak with additional people, in line with our safety measures during the COVID-19 pandemic.

We reviewed a range of records which included 12 people’s care records and 17 medicine records. We checked the recruitment files and individual supervision records for five staff. A variety of records relating to the management of the service policies and procedures were reviewed.

We spent one day a

Overall inspection

Good

Updated 1 May 2021

About the service

Beachcroft House is a care home which is registered to provide personal care and nursing care to up to 84 older people with physical disabilities, frailty and/or living with dementia. There were 50 people living at the service at the time of our inspection and two people were in hospital. The provider had not yet opened the designated suite for people assessed to require nursing care. The service is purpose built over five floors and offers a range of communal areas and facilities.

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

People and their relatives were happy with the quality of care and support they received at the service.

People received care and support that was developed to meet their individual needs as reflected in their care plans. However, some of the individual assessments to identify and meet risks to people's safety and wellbeing needed to be more detailed and tailored to people's unique circumstances.

People were supported with their medicine needs, although some improvements were needed to ensure the safety and effectiveness of the medicine system.

People were pleased they were provided with a clean and hygienic home where staff followed correct procedures to protect them from the risk of infections.

Staff were described as "lovely and caring" and relatives praised the staff team for keeping their family members safe.

People enjoyed activities to keep them entertained and stimulated during the lockdown. People and their relatives spoke highly about well appointed and comfortable premises, which were described as "beautiful".

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 felt consulted about their wishes and they knew how to make a complaint if they wished to. They told us the service was well managed and they had full confidence in the performance of the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 17 September 2020 and this is the first comprehensive inspection.

Why we inspected

The inspection was prompted in part due to concerns received from an anonymous source about people’s safety and the quality of their care. This included concerns in relation to how people were protected from the risks of malnutrition, falls and infection, neglect, leaving the premises unwitnessed and unsatisfactory continence support. A decision was made for us to inspect and examine those risks.

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.

We found no evidence during this inspection that people were at risk of harm from the concerns alleged by the anonymous source. However, we have found evidence that the provider needed to make improvements.

We have recommended the provider monitors the level of detail within risk assessments and reviews some of the medicine practices which were not in line with their own medicine policy and procedures. We have also recommended the provider develops its monitoring and auditing processes in order to effectively identify and address issues with the quality of people's risk assessments.

You can see what action we have asked the provider to take at the end of this full report.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. We may inspect again if we receive any further information of concern.