Beech Lodge - Thames Ditton

This inspection report for Beech Lodge - Thames Ditton, conducted by the Care Quality Commission (CQC), provides an overview of the care provided to nine residents living at the home. The inspection focused on assessing the service against five key questions: Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led? The report details specific findings within each of these categories, highlighting areas of good practice and identifying opportunities for improvement. Overall, the report aims to give families a comprehensive understanding of the quality of care and support offered at Beech Lodge.

On safety, the home ensures residents are protected from harm. Risks are thoroughly assessed and managed, with personalised plans in place for individuals, including those with complex needs like epilepsy or challenging behaviours. Environmental and equipment safety checks are consistently performed. While the service addressed a minor issue regarding smoking risk assessments promptly, it demonstrates a commitment to maintaining a secure environment. Safeguarding procedures are robust, staff are well-trained, and recruitment processes ensure only suitable individuals are employed. Medicines are administered safely, and infection control measures are in place, with the home undertaking immediate improvements to ensure cleanliness standards are met and will be subject to ongoing review.

In terms of how effective the care is, Beech Lodge consistently delivers good outcomes for residents. Assessments are thorough, and care plans are regularly reviewed with significant family involvement. Staff are well-trained and skilled in various areas, including specific conditions like epilepsy and mental health needs, and receive ongoing supervision and development opportunities. Residents have a strong say in their diet, with a choice of meals and involvement in menu planning. The home effectively supports residents in accessing necessary healthcare services and professionals. While the building is adapted to meet needs, some furniture in residents' rooms requires replacement, for which a list of requested items has been provided. Care is delivered in line with the Mental Capacity Act, with staff always seeking consent and operating in the least restrictive way possible.

Regarding how caring the service is, residents are treated with kindness, dignity, and respect. Staff develop positive relationships with residents, who feel safe and well-supported. Feedback from residents and their relatives consistently praises the staff's efforts and the positive impact on residents' well-being and calmness. The home actively promotes residents' independence and choice in their daily lives, ensuring their preferences and wishes are central to the care provided.

On responsiveness, the service actively involves residents and their families in decision-making processes. The home provides a variety of opportunities for residents to engage in activities and outings, promoting socialisation and personal development. Residents' nutritional needs are met with choice and flexibility in meal options. The home ensures residents can access external healthcare services, with staff liaising effectively with professionals. The environment is adapted to meet resident needs, and residents are encouraged to personalise their living spaces.

Finally, concerning how well-led the service is, there is a clear commitment to improvement and resident well-being. The manager, with extensive experience in the home, demonstrates a good understanding of residents and staff. The service has implemented new processes for recording incidents to better monitor trends and prevent recurrence. While a registered manager was in the process of registration, the acting manager provided effective leadership. The provider ensures staff receive appropriate training and support, and quality monitoring systems are in place.