This was an unannounced inspection that took place on 27 June 2017.

Beechwood House provides accommodation and personal care for up to 23 people who may have dementia. Nursing care Is not provided. The home is privately owned by the registered manager and her husband. There were 22 people using the service during this inspection.

The home had a registered manager. 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 and associated Regulations about how the service is run.

In May 2015, our inspection found that the service was overall good with good for all five questions.

People and their relatives said the management team and staff provided very good support and care, in a respectful way. They told us the home was a very nice place to live and they enjoyed living there. People also had the opportunity to do what they wanted and join in the activities if they wished.

The home provided a warm and welcoming atmosphere that was enabling and inclusive. Visiting relatives told us that they were always made welcome and the atmosphere was so inclusive that they weren’t just visiting their own relatives, but everyone living and working at the home. The home provided a safe environment for people to live and work in and was well maintained, well decorated and clean.

The home’s records were up to date, thorough, easy to understand and regularly reviewed. This enabled staff to perform their duties well and meet people's assessed needs.

The staff were very familiar with people using the service and their likes, dislikes, routines and preferences. They also treated people equally with the same level of attentive service. Staff had appropriate skills, qualifications and were focussed on providing individualised care and support in a professional, friendly and compassionate way. Whilst professional they also made themselves accessible to people using the service and their relatives. Staff said they had access to good training, support and career advancement.

People were protected from nutrition and hydration associated risks with balanced diets that also met their likes, dislikes and preferences. People and their relatives told us the choice of meals and quality of the food provided was very good. People were encouraged to discuss health needs with staff and had access to community based health care professionals, if they required them.

The management team at the home were approachable, responsive, nothing was too much trouble, and they encouraged feedback from people and consistently monitored and assessed the quality of the service provided.

This was an unannounced inspection that took place on 27 June 2017.

Beechwood House provides accommodation and personal care for up to 23 people who may have dementia. Nursing care Is not provided. The home is privately owned by the registered manager and her husband. There were 22 people using the service during this inspection.

The home had a registered manager. 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 and associated Regulations about how the service is run.

In May 2015, our inspection found that the service was overall good with good for all five questions.

People and their relatives said the management team and staff provided very good support and care, in a respectful way. They told us the home was a very nice place to live and they enjoyed living there. People also had the opportunity to do what they wanted and join in the activities if they wished.

The home provided a warm and welcoming atmosphere that was enabling and inclusive. Visiting relatives told us that they were always made welcome and the atmosphere was so inclusive that they weren’t just visiting their own relatives, but everyone living and working at the home. The home provided a safe environment for people to live and work in and was well maintained, well decorated and clean.

The home’s records were up to date, thorough, easy to understand and regularly reviewed. This enabled staff to perform their duties well and meet people's assessed needs.

The staff were very familiar with people using the service and their likes, dislikes, routines and preferences. They also treated people equally with the same level of attentive service. Staff had appropriate skills, qualifications and were focussed on providing individualised care and support in a professional, friendly and compassionate way. Whilst professional they also made themselves accessible to people using the service and their relatives. Staff said they had access to good training, support and career advancement.

People were protected from nutrition and hydration associated risks with balanced diets that also met their likes, dislikes and preferences. People and their relatives told us the choice of meals and quality of the food provided was very good. People were encouraged to discuss health needs with staff and had access to community based health care professionals, if they required them.

The management team at the home were approachable, responsive, nothing was too much trouble, and they encouraged feedback from people and consistently monitored and assessed the quality of the service provided.

On the day that we visited Beechwood House there were 20 people living there. The service provides personal care and support for people who may have dementia and many of them were confused. However some people were able to talk with us. They all told us that they were very happy with the care at Beechwood House. They told us that the staff were “very helpful” and “they help me how I like”. People told us that the atmosphere in the home was “very friendly, we all have a laugh and joke together”. People told us that they had comfortable bedrooms and we saw that they had been able to bring in items from home to personalise them. They said that they enjoyed the activities in the afternoon. The karaoke was particularly popular. Those people who were unable to talk with us, due to their cognitive impairment, appeared happy and showed signs of wellbeing and positive engagement with staff.

We looked at recruitment procedures in the service and found them to be effective. Appropriate checks were in place to help ensure the protection of the people using the service. There was ongoing staff training and supervision in place to help staff meet the needs of the people that they were supporting.

We looked at how the service manages medication. We saw that people were receiving their medication as it had been prescribed for them and in a safe way. Medication in the home was handled safely, securely and appropriately.

23 people were living at Beechwood House at the time of our visit. All of the people we spoke to said they happy living at the home and with their rooms.

People who use the service had planned activities throughout the week, including indoor bowling, bingo, and quizzes. People told us they enjoyed singing along to the new karaoke machine. The home also has a visiting reminiscence service.

People we spoke to were positive about the staff.

One person described staff as “top notch…give them a rosette”.