Background to this inspection
Updated
6 December 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Before the inspection we looked at all the information we had about the service. This information included the statutory notifications that the provider had sent to CQC. A notification is information about significant events which the service is required to send us by law. In addition, we reviewed the Provider Information Return (PIR). This is a form that asked the provider to give some key information about the service, what the service did well and improvements they planned to make.
We visited the home on 6 November 2017. Our inspection was unannounced and carried out by one inspector.
On the day of our visit we spoke two people using the service. The other people using the service were non-verbal so we observed how staff interacted with them during our inspection. We also spoke with the registered manager and three care workers. We looked at care records for three people, staff files for three staff members, medicines records for two people and other records relating to the running of the service.
After the inspection we spoke with three relatives. We also received feedback from a social worker.
Updated
6 December 2017
55 Beulah Road is a residential care home that provides accommodation and personal support for up to six younger males. There were six people using the service at the time of our inspection.
When we last visited the home on 13 May 2015 the service was meeting the regulations we looked at and was rated Good overall and in all five key questions.
At this inspection we found the service continued to be Good.
There was a registered manager in post at the time of our inspection. 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.
There were good arrangements in place to protect people from the risk of abuse and the provider had responded to allegations of abuse appropriately. In addition, the provider had processes in place to learn and improve when things went wrong. The provider managed people’s medicines safely.
Risks relating to people’s care and also the premises were reduced as the provider assessed and managed risks well. People received care in premises which were safe, clean and well maintained. The premises met people’s support needs and people had access to communal areas including a sensory room which they used to relax.
There were enough staff deployed to support people and the provider carried out recruitment checks on staff to check their suitability.
People received care in line with the Mental Capacity Act 2005 and the provider applied for and followed authorisations to deprive people of their liberty as part of keeping them safe appropriately.
People’s needs and choices were assessed well and care and support was delivered effectively by staff. People and their relatives were involved in people’s care. People were supported to live healthier lives and were supported in relation to eating and drinking by staff.
People were supported by staff who received suitable support and training to understand their needs. The service worked well with other services in the organisation as well as with external organisations in providing care to people.
People were supported by staff who knew them well and understood their needs. People were supported to be as independent as they wanted to be. Staff treated people with dignity and respect and care was provided in a compassionate, person-centred way.
Care provided to people was responsive to their needs and care plans were reviewed regularly to ensure information remained reliable for staff to follow. People were supported to participate in holidays and activities they enjoyed. People were supported to maintain relationships with people who were important to them.
The provider encouraged people to feedback on the service and had a suitable complaints procedure to investigate and respond to any complaints.
The service was well-led with a registered manager in post who had a good understanding of their role and responsibilities. People, relatives, staff and professionals spoke highly of the registered manager. Leadership was visible and capable at all levels.
The provider was effective in monitoring, assessing and improving the service with a range of audits in place to check the quality of service.
The registered manager encouraged open communication with people and staff and the provider celebrated success with staff and people through a variety of award ceremonies.