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CQC report explained · a residential care home, run by Medstar Care & Support

Beaconsfield Road

231 Beaconsfield Road, Enfield, EN3 6AY

Goodpublished 28 October 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough suitably skilled staff, safe recruitment, effective safeguarding and good management of risks. Medicines and infection control were also managed safely.
Effective?
Good
Care plans and assessments covered people's health, communication, sensory needs, preferences and goals. Staff were trained and supported people with food, healthcare and decisions made under the Mental Capacity Act.
Caring?
Good
Staff treated people with kindness, dignity and respect. They used people's preferred communication methods and supported them to make choices and develop everyday skills.
Responsive?
Good
Support was personalised to people's needs, interests and goals. People had communication plans and activity plans, and the home provided information in formats they could understand.
Well-led?
Good
Inspectors found approachable managers, effective checks on quality and a positive culture. Staff, relatives and other professionals were involved in improving people's care.
The latest report, explained

What inspectors found, October 2023

Rated Good; inspectors found safe, kind and personalised care, with people supported to make choices and build independence.

This was an unannounced inspection carried out by one inspector. The inspector visited on 1 August 2023, with inspection activity continuing until 23 August 2023. They spoke with managers, staff and relatives, observed care, and checked care records, risk assessments, medicines records and staff files.

The home supported four people with learning disabilities and/or autism. Inspectors found enough trained staff, safe medicines systems, good infection control and well-maintained surroundings. Staff understood people's communication, sensory and health needs.

Inspectors found that people were treated with kindness, dignity and respect. People were supported to make choices, take part in activities, maintain relationships and work towards personal goals. All five areas were rated Good.

What inspectors praised

  • Choice and independence

    Staff focused on what people could do and supported them to make choices, gain skills and have control over their daily lives.

    “Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.” from the report

  • Consistent staffing

    The home had enough staff, including for one-to-one and two-to-one support. Inspectors noted a low staff turnover, which helped provide continuity.

    “There was a low turnover of staff which meant people received a continuity of care.” from the report

  • Kind and respectful care

    Staff understood people's individual needs and communication styles. Inspectors observed warmth, respect and attention to people's emotions and sensory needs.

    “We observed staff members showed warmth and respect when interacting with people.” from the report

  • Personalised support

    Care plans included people's health needs, preferences, communication, sensory needs and aspirations. Staff supported people with activities, relationships and everyday living skills.

    “People had care and support plans that were personalised, holistic, strengths-based and reflected their needs and aspirations, included physical and mental health needs.” from the report

  • Strong leadership

    Managers were visible and approachable. Inspectors found effective quality checks and staff who felt able to raise concerns.

    “Governance processes were effective and helped to hold staff to account, keep people safe, protect people's rights and provide good quality care and support” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative's preferred way of communicating, including when they are distressed?
  2. 02How would you help my relative work towards their personal goals and develop everyday living skills?
  3. 03What one-to-one or two-to-one support would be available for the activities and visits my relative wants?
  4. 04How would you involve me, my relative and any advocate in reviewing their care and risk assessments?
  5. 05How do you review medicines and use non-med medicine approaches when someone becomes distressed?

This was an unannounced inspection of all five key questions, including infection prevention and control; the inspector visited on 1 August 2023 and inspection activity continued until 23 August 2023. This explanation was written from the published report of 28 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Beaconsfield Road

2 rated inspections over 4 years: the service has held its Good rating throughout.

  1. October 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Beaconsfield Road →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. April 2020Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. November 2020

    Registered with the Care Quality Commission on 20 November 2020.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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