Bevern View

Updated 3 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 14 February 2022 and was unannounced.

Updated 3 March 2022

We inspected Bevern View on 8 and 14 June 2018. The first day of the inspection was unannounced. We previously carried out an inspection at Bevern View in March 2017 where we found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found risks to people’s safety were not always well managed. The requirements of the Mental Capacity Act 2005 were not always followed and decision specific mental capacity assessments were not always in place. People’s dignity was not always respected and accurate and complete records were not in place for everybody. The provider sent us an action plan to tell us how they would address these issues.

We undertook this unannounced comprehensive inspection to look at all aspects of the service and to check that the provider had made improvements, and check that the service now met legal requirements.

Bevern View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bevern View is a purpose-built home which accommodates up to 11 people living with profound and complex physical and learning disabilities and communication needs. The home provides nine, full time residential care places, with two places available for short term respite care. At the time of the inspection there were nine people living at the home and one person receiving respite care.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. Although Bevern View provides accommodation for more people than recommended in Registering the Right Support this did not impact on people because they received care and support that was person centred.

There was no registered manager at the service. However, there was a manager working at the home and responsible for the day to day running of the service. They were in the process of registering with Care Quality Commission. 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.

We found improvements were needed to some aspects of record keeping. This was to ensure best interest decision discussions, in relation to mental capacity assessments and consent, were recorded. Other records were well completed.

People received care and support that was exceptionally person-centred. People were supported to live their lives to their full potential and get enjoyment from each day. They were supported to live full and busy lives. They took part in a wide range of activities of their choice. These were meaningful, were fun. This had a positive impact on people’s well-being.

Staff knew people really well. They were passionate about ensuring people received the care and support they needed. They promoted people’s independence and treated them with kindness, understanding and patience. People were supported to make their own decisions and choices throughout the day. There was a happy and enjoyable atmosphere at the home.

Risk assessments were in place and staff had a good understanding of the risks associated with the people they looked after. There were systems in place to ensure medicines were ordered, stored administered and disposed of safely.

Staff understood the procedures in place to safeguard people from the risk of abuse and discrimination. There were enough staff, who had been safely recruited, to meet people's needs.

Staff received training to enable them to meet the needs of people who lived at the home. 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

People were supported to maintain good nutrition. Staff understood people’s nutritional needs and supported them to have enough to eat and drink throughout the day.

People were supported to maintain good health and were able to access healthcare services when they needed them.

There was a positive culture at the home and the staff team worked well together. There was a quality assurance system in place to identify and improve aspects of the home. The manager and provider understood what was needed to improve and develop the home.