Beechcroft Manor Nursing Home

Updated 19 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 13 and 14 August 2018 and was unannounced. We told the provider we would be returning for the second day of inspection.

The inspection was carried out by one inspector.

Prior to the inspection we reviewed information we held about the service. This included notifications the provider is required by law to send us about events that happen within the service. We also reviewed the information included in the provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with four people and three relatives. We also spoke with the manager, the clinical operations manager, the service quality manager, two nurses and two care workers. We obtained feedback from two healthcare professionals.

We looked at four care records, four staff files and a range of other documents that related to the overall management of the service which included quality assurance audits, accident and incident reports and complaints records.

Updated 19 September 2018

Beechcroft Manor is a nursing home for older people and they are registered to care for up to 18 people. Many people who use the service are living with dementia or have mobility needs. The home is situated in Gosport near to local amenities. A the time of our inspection 14 people were using the service . The inspection took place on 14 and 15 August 2018

At our last inspection in August 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was not a registered manager in place at the time of our inspection. Since the previous registered manager had left a new manager had been employed and was working at the home . A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 (HSCA) and associated Regulations about how the service is run.

The provider had learned lessons from other care service who had locations which failed to comply with the requirements of the Health and Social Care Act 2008 (Regulated Activities) 2014.HSCA.

People told us they felt safe and said they were supported to have choice and control in their lives.

Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

There were sufficient staff available to ensure people's wellbeing, safety and security was protected.

An appropriate recruitment and selection process was in place which ensured new staff had the right skills and were suitable to work with people.

Staff had a good understanding of systems in place to manage medicines and safeguarding matters.

The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS).

People we spoke with said they were involved in care planning and were confident that their comments and concerns would be acted upon.

The provider took account of any complaints and comments to improve the service.

Risk assessments were in place for a number of areas and were regularly updated.

Staff had good knowledge and understanding of people's health conditions.

Feedback received from people and their relatives was positive and people were encouraged to contribute their views.

People were positive about the staff who supported them and told us they liked the staff and were treated with dignity and kindness.

People were satisfied with the support they received in relation to nutrition and hydration.

There was an open and transparent culture and encouragement for people to provide feedback.

Staff told us they enjoyed working for the organisation and spoke positively about the culture and management of the service. They also told us that they were encouraged to openly discuss any issues.