The inspection took place on 15 August 2017, and was unannounced.

Beech House is situated in the small town of Barton on Humber and near to local amenities, bus and train routes. The care home can provide accommodation for 30 people requiring personal care.

There was a registered manager in place. 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 and associated Regulations about how the service is run. The registered manager is referred to as the manager throughout this report.

At our last inspection the service was rated as Good. At this inspection we found the service remained good.

Care and treatment was planned and delivered to maintain people’s health and safety. People's needs were met by sufficient numbers of staff. Recruitment processes were robust. Medicines were dispensed by staff who had received training to undertake this safely.

Staff were provided with training to help them care for people. They received supervision and appraisal which helped them develop their skills. People’s dietary needs were met. The service was maintained and homely; this made it a pleasant place for people to live.

People were safeguarded from avoidable harm and abuse. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The manager knew how to make a referral for further assessments if required. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible, the policies and systems in the service support this practice.

Staff cared for people and supported them with kindness, dignity and respect. End of life care was provided.

People’s care and support was monitored to ensure people received the care and support they required. Staff contacted relevant health care professionals for help and advice and acted upon what they said to maintain people’s wellbeing.

The service had a number of ways of gathering people's views including using questionnaires and by talking with people, staff, and relatives. The manager carried out a number of quality monitoring audits to maintain and improve standards of care and support.

People we spoke with confirmed that staff involved them in decisions about their support to ensure their wishes and needs were respected. Visiting relatives told us they were, “Very much involved” and included in decisions about support that was provided. One relative told the Expert by Experience they felt, “We had landed on our feet when we found this place and are so happy”, whilst another described the approach used by the home as, “Shared care.”

People told us that they were, “Happy and comfortable” with the way that staff supported them. They told us that staff listened and talked with them about their individual preferences. A visiting relative told the Expert by Experience they were included in decisions and able to have input and make suggestions, about care their mother received.

The Expert by Experience told us that people said staff were helpful and “Excellent” and that one person had told them, “They treat everybody with respect.”

There were systems in place to effectively assess and monitor the quality of care and support that was delivered. There was evidence the manager had a welcoming approach, had an open door policy and held weekly surgeries, to enable people to raise concerns should they require.

Policies and procedures available on the storage of information and records management. We found this included details about access to information, confidentiality and the retention periods for documentation.

As part of our inspection we asked people who used the service about their experiences of the service provided by Beech House. .

People that used the service told us they were happy with the service provided and that staff listened to them, this ensured their individual needs and wishes were respected. We observed that staff displayed an open and friendly approach and saw that they talked to people and involved them in decisions and choices about their daily routines.

People told us that they were provided with, “Good food” and got “Lots of choices.” People said they were consulted about their meals and we observed that alternatives were provided, which enabled their dietary needs to be met.

People that used the service told us that they felt, “Safe” and that they were “Reassured” that staff were available to ensure they were protected from potential harm.

People said they would talk to the manager if they had any concerns about the service. People told us however they were, “Very Satisfied” and had no complaints.

As part of our inspection we spoke with a number of people who use the service. They spoke positively about the staff and care provided and told us that staff treated them with respect. Everyone we spoke with felt they were involved in their care and in making decisions about their treatment.

We received comments such as " No complaints" and " "When I press my call bell they (staff) come quickly" and " Staff look after me well."

Everyone we spoke with told us that the food was good and a varied menu was available.

This inspection took place on 28 April and 5 May 2015 and was unannounced. The service was last inspected on 11 September 2013 when the service was found to be compliant with the regulations inspected.

Beech House is situated in the small town of Barton on Humber and is close to local amenities and local bus and train routes. The care service provides accommodation for up to 30 people requiring personal care, some of whom may be living with dementia related conditions.

There was registered manager in place who had recently been registered under the Health and Social Care Act 2008. 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 and associated Regulations about how the service is run.

People told us they felt safe and trusted the staff. Training had been provided for staff about how to keep people safe from harm. Staff were employed following a robust recruitment and selection process, to ensure they were safe to work with vulnerable people and did not pose a risk to them.

A variety of training was provided to staff to enable them to safely carry out their roles. Professional supervision and appraisals of staff skills were undertaken to enable their individual performance to be monitored and help them to develop their careers.

People told us they liked the food and their nutritional status was monitored to ensure risks from malnourishment and dehydration were acted on with involvement of specialist health care professionals when required.

People said staff were caring and kind and they were happy with the support that was delivered to them. People had opportunities to participate in a variety of social activities to enable their wellbeing to be promoted.

People’s health and social care was assessed and personalised plans of support were developed to help staff meet people’s individual wishes and needs

The registered manager monitored the quality of the service people received. People were able to participate and make suggestions about their support, in order to enable the service to continually improve.