Beechcroft

“Following our assessment in November 2025, we served a warning notice against the provider and registered manager for a breach in regulation relating to good governance. The provider was also in breach of 2 other regulations relating to person centred care and safe care and treatment following our last assessment. As part of this visit, we also assessed if the provider had taken appropriate actions to meet the requirements of these regulations.”

“At this assessment, the provider had met the conditions of the warning notice relating to the good governance regulation and had also met the requirements of the regulation relating to person centred care. However, whilst we identified improvements in the regulation relating to safe care and treatment, the provider remained in breach, as we identified ongoing concerns relating to medicines management.”

“People received their medicines as prescribed, however we identified that not all protocols were in place for when people were prescribed ‘when required’ medicines, for example for anxiety. Risk assessments were not always completed when people used flammable topical creams and improvements were required in relation to the storage of liquid medicines.”

“Improvements were identified in relation to the recording and monitoring of people’s known risks. People’s care plans were now detailed around their specific medical needs. There were now effective systems and process to monitor incidents and accidents which reduced the risk of recurrence. Where people were identified as at risk, for example of dehydration or bowel impaction, action had been taken to ensure this was effectively monitored and escalated as required.”

“The service actively sought feedback from people, relatives and staff and had systems in place to monitor complaints. A continual service improvement plan gave an oversight of actions and improvements that had been identified and when they were completed.”

“Governance systems were operated effectively to identify areas for improvement. A new compliance manager was now employed by the provider who had introduced new governance tools and was currently embedding them throughout the service.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”