Archived: Bevan Court

Updated 21 July 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 was planned to check 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.

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection of Bevan Court took place on 20 June 2017 and was announced. We gave the provider 24 hours’ notice so people would be available to speak with us at our visit. The inspection was conducted by two inspectors.

We reviewed the information we held about the service. We looked at the statutory notifications the service had sent us. A statutory notification is information about important events which the provider is required to send to us by law. We contacted the local authority contracts team and asked for their views about Bevan Court. They informed us the provider had kept them informed of recent events at the service.

During our visit we spoke with the operations manager, the team leader, four support workers, and two interim operational managers from the providers’ management team. We spoke with seven people who used the service and four relatives.

We reviewed four people’s care plans and daily records, to see how their care and support was planned and delivered.

We looked at other records related to people’s care and how the service operated including, medication records, staff recruitment files, the provider’s quality assurance audits and records of complaints.

Updated 21 July 2017

This inspection took place on 20 June 2017 and was announced 24 hours before our visit to see if people who lived at the service would be available to speak with us.

Bevan Court provides an extra care service of personal care and support to older people within a complex of 41 apartments. Staff provide care at pre-arranged times and people have access to call bells for staff to respond whenever additional help is required. The complex is spread over three floors with a lift and stairs to each floor. People have access to communal lounges and a dining room.

At the time of our visit 31 people were receiving personal care support. We last inspected the service in June 2016 and gave the service an overall rating of ‘Requires improvement’.

The service did not have a registered manager. We were made aware shortly before our inspection visit the previous registered manager had left the service and a new manager was being recruited. A registered manager is a person who has registered with the Care Quality Commission to manager 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 being supported by two team leaders, an operational support manager and two interim operational support managers.

People received varying levels of support from staff, depending on their needs. Some people only required minimal assistance with their personal care. Other people required assistance with taking medicines, continence care, and support with nutrition and mobility.

People told us they felt safe with the staff who delivered their care. Staff were aware of the action they needed to take if they had any concerns about people’s safety, or health and wellbeing.

The staff allocation sheets showed there were sufficient staff to cover people’s scheduled calls. People told us they mostly received their care on time and staff stayed the allocated time to complete tasks. The provider was recruiting new staff and gaps in the staff rota were supported by agency staff. However, the provider used regular agency workers and bank staff, to ensure people received support from staff that knew them.

Staff received an induction and training when they started working at Bevan Court. There were plans in place to ensure all staff completed training to support them in meeting people’s needs effectively. Staff received supervision and support and told us the management team were approachable and supportive.

Care plans did not always include important information about risks to people’s health, but staff were able to talk confidently about how they managed risks, as they knew people well. Care plans were written in a ‘person-centred’ way that supported staff in delivering care and assistance that met people’s individual needs. However, the interim operations manager acknowledged more detail about people and their current needs was required within care plans and they were addressing this.

People were happy with the care they received and said staff were caring and friendly. Staff respected people’s privacy and maintained people’s dignity when providing care. The management team and staff understood the principles of the Mental Capacity Act (MCA) and gained people’s consent before they provided personal care.

All the people we spoke with clearly recognised that due to the support and care provided by staff, they were able to enjoy living relatively independently in their own homes.

There were processes to monitor the quality of the service provided through feedback from people and a programme of checks and audits.

The provider had sent us relevant statutory notifications in order for us to monitor the quality of the service being provided, however we identified two incidents we had not been notified about and the interim operations manager was investigating these further.