Beechfields Nursing Home Limited

Despite the inspection findings, people said they were happy living at the home and felt supported by staff.

“I am happy here, I feel safe. The staff are smashing, they are very good.” from the report

People said staff listened to them, explained what they were doing and involved them in decisions about their care.

“I have choices. I choose what time to wake up and go to bed. I choose what I want to do. The staff help me.” from the report

The provider worked with health and social care professionals, including therapists and nurses, and relatives gave positive feedback about obtaining suitable equipment.

“They have worked really hard to get my relative the right equipment. They have worked really hard with the occupational therapist and physiotherapist.” from the report

Incidents involving abuse and distressed behaviour were not always investigated or referred to the local safeguarding team. This left people at risk of harm.

“The provider failed to submit safeguarding referrals to the local authority safeguarding team in accordance with their regulatory responsibility.” from the report

Important risk assessments were missing for conditions and situations including epilepsy, diabetes, distressed behaviour and not having a call bell within reach.

“Risk assessments were not always in place to guide staff how to manage and mitigate risks to people.” from the report

Medicine fridge temperatures were not managed correctly, pain relief patches were not checked daily, and one person's changed pain medicine did not have an administration protocol.

“Medicines were not always managed safely.” from the report

Inspectors saw a person left undressed with personal care needs unmet, and another person eating without cutlery. The report says people were not always treated with dignity.

“People were not always treated with dignity.” from the report

Audits did not consistently identify problems or record follow-up action. The provider had not learnt enough from the previous inspection, and governance remained in breach.

“The continued lack of oversight of the care and support provided placed people at risk of harm.” from the report

Window restrictors were missing, equipment was stored in communal areas, thickened drinks were left unattended, and infection control practices were not always safe.

“Environmental risks were not always managed safely which placed people at risk of harm.” from the report