Beeches Care Home

Inspectors saw staff treating people with kindness, dignity and respect. People generally spoke positively about staff.

“We observed staff to be kind and caring.” from the report

People were supported to access healthcare when needed. Information from professionals was shared with staff and recorded.

“People were supported to access healthcare services as and when this was required.” from the report

Staff generally liked working at the home and described good teamwork. Staff also said they could raise concerns with the manager.

“Staff told us they generally liked working at the home and everyone worked well as a team.” from the report

Inspectors saw that people had bedrooms personalised with their own belongings.

“During our visit, we observed people had personalised bedrooms with their own belongings.” from the report

Fire doors raised concerns, safety checks were not completed consistently and there were no trained fire marshals at the time of inspection. Staff were not all trained to evacuate people safely.

“Issues relating to ineffective fire doors were raised by Lancashire Fire and Rescue Service in December 2022, but action had not been taken to rectify this.” from the report

People and staff reported that there were not always enough staff. Missed care tasks suggested that staffing levels affected safety and the support people received.

“There was a failure to ensure sufficient numbers of staff were deployed to meet people's needs.” from the report

Medicine competence checks, storage, temperature monitoring, opening dates and records for variable doses were not managed reliably. CQC found a breach, although it found no evidence that people had been harmed by these issues.

“There was a failure to ensure appropriate systems and processes were in place for managing medications.” from the report

People did not always receive the care recorded in their plans. Inspectors found missed care tasks and inadequate fluid intake, creating a risk of dehydration.

“People were not protected from the risk of dehydration.” from the report

There was little evidence of regular, meaningful activity. Staffing pressures meant people, particularly those cared for in bed, had limited opportunities for company and social interaction.

“There was a failure to ensure personalised care and support which reflected people's emotional and social needs.” from the report

Audits and other checks did not identify or resolve important problems. The provider did not use feedback, records and monitoring systems effectively to improve care.

“Systems and processes had not been established to effectively assess, monitor and improve the quality and safety of services.” from the report