Background to this inspection
Updated
29 November 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.
The inspection visits took place on 24 and 30 October 2017. The first day of the inspection was unannounced and was conducted 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. For this inspection the expert-by-experience was familiar with mental health services. The second day of the inspection was conducted by a lone inspector.
When planning our inspection, we looked at the information we held about the service. This included the notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also looked at the Provider Information Return (PIR) which is a document containing current information about the service and the provider’s assessment about how it is meeting the regulations. The PIR also referred to the improvements the provider planned to make to the service.
We also contacted local authorities who purchased the support on behalf of people to ask them for information about the service. We were not informed of any significant concerns with the service.
During our inspection, we spoke with four people who lived at the service. Some of the other people we approached were unwilling to speak to us we therefore observed the interactions between people and support workers to contribute to our inspection findings. We also spoke with a visiting relative, a visiting health professional, four support workers, the registered manager, the deputy manager and two support staff.
We looked at the support plans for three people to see how their support and treatment was planned and delivered. We also looked at three Medication Administration Records (MAR) and the medicine management processes and audits for the service.
We looked at support workers training records and the provider’s training audit to confirm the training undertaken.
We also looked at records relating to the management and audit of the service and reviewed the provider's policies and procedures.
In addition we requested the provider to supply copies of the documents and forms being introduced to improve the service; these were provided following the inspection.
Updated
29 November 2017
The inspection visits took place on 24 and 30 October 2017. The first day was an unannounced visit and the second day was announced to enable us to speak with support workers and the 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 2008 and associated Regulations about how the service is run.
The service was transferred in its entirety to the current registered provider in December 2016. The last inspection of the service prior to the transfer was in June 2016 and we rated it as good. The current registered manager and support workers were in place at the time of that inspection.
Beeton Grange is a service that provides accommodation and personal support for up to 24 adults with complex mental health needs. The service exclusively supports people from an Asian or African-Caribbean heritage. At the time of our inspection 20 people were using the service. The service’s main aim is to assist people to develop or relearn the life skills to enable them to live independently in the community.
We found
People felt secure and safe with their support workers and received information to help them remain safe from the risk of abuse.
People were also protected because risk assessments had been completed to identify and reduce the risk of harm for all the people who lived at the service.
People were able to have their needs met on most occasions because sufficient support workers were available throughout the week.
People were assisted by experienced support workers who had developed in depth and personal knowledge of their needs likes and dislikes.
The provider had recruitment processes for the safe employment of support workers and processes which ensured they received the necessary induction and training to meet the support needs of people living at the service.
People were supported and received their medicines as prescribed by their healthcare professionals.
Peoples' consent was obtained before providing support and the provider understood and applied the legal requirements of the Mental Capacity Act 2005.
People were supported to make choices, take responsibility for their own daily activities and encouraged to try new activities and learning opportunities.
People were provided with, or assisted to prepare, culturally appropriate food and drink at times to suit them.
People's mental health and physical health needs were assessed and people were supported to access their local health care professionals when required.
People told us they were supported by caring and respectful staff who maintained their privacy and dignity.
People’s support needs were clearly recorded in support plans which were regularly reviewed.
People knew how to complain about the service they received and were supported to make complaints and discuss issues of concern.
The provider had systems to assess and monitor the quality of the service and was introducing new policies and documentation to improve consistency at the service and meet people’s needs.