Beckland Care Limited

Updated 12 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency and provides care and support to people living in ‘supported living’ settings, so they can live as independently as possible. It also provides personal care to people living in their own houses and flats. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We looked at all the information we held about the service including notifications. A notification is information about events that the registered persons are required, by law, to tell us about. prior to this inspection. We used the information the provider sent us in the provider information return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We checked information held by Companies House and we looked at online reviews. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who uses the service and 3 relatives about their experience of the care provided. We spoke with 5 members of staff, including the registered manager. We reviewed a range of records. These included 3 people's care records, 4 staff files and a variety of records relating to the management of the service, including policies and procedures.

Updated 12 July 2023

About the service

Beckland Care Ltd is a domiciliary care agency providing personal care for to people in their own homes and supported living settings. The service provides support to older people, young adults, autistic people, people suffering from symptoms of mental health, learning disabilities or physical disabilities. At the time of our inspection there were 3 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

The registered manager worked closely with people, staff and families to ensure close oversight of daily activities. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received safeguarding training and knew how to keep people safe.

Care plans, risk assessments and positive behavioural plans contained clear and individualised information for staff to follow to enable them to meet people’s needs and support people to achieve their goals.

All staff received training in medicine administration and their competencies were assessed. The registered manager carried out weekly audits of medicine administration records (MARs) for all service users, and appropriate guidance was in place for administration of as required (PRN) medications.

Right Care:

People received care from staff who were familiar to them and knew them well. Staff engaged well with people, their relatives and external agencies involved in their care to ensure the best outcomes for people.

Right Culture:

We made a recommendation in relation to documenting investigations and lessons learned in relation to accidents and incidents. This meant we rated Well-Led as Requires Improvement on this inspection. This was discussed with the registered manager who told us the service would work to implement the changes required to meet the regulations.

The registered manager inspired confidence in the staff team and led by example. Feedback from staff and health and social care professionals was positive about the service and the registered manager.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 6 July 2022 and this is the first inspection.

Why we inspected

This was a planned comprehensive inspection as a newly registered service. This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.