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We are carrying out a review of quality at Beacon Extracare. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 13 January 2017

This unannounced inspection took place on 26 October 2016.

Beacon Extracare provides personal care and support to blind and visually impaired people within a complex of flats. People have communal facilities including shops, hairdresser, lounges and a restaurant available to them. In addition a community team of carers provided support to people living within the community in their own homes. At the time of our visit the service was providing personal care to 42 people.

The service has a 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.

People had not experienced any missed calls but some people described carers at times being rushed and not staying for the agreed length of time. Systems were in place to monitor the quality and safety of the service. However, these needed to be more robust to ensure that the service provided was safe. Some hazards were identified in the communal kitchen which could pose a risk to blind and visually impaired people. People and their relatives were encouraged to provide their views on the quality of the service but it was not clear how improvements were being made to enhance people's experiences.

Carers had received training in abuse and understood the signs of abuse and their responsibilities to keep people safe. Risks to people's health had been assessed, regularly reviewed and were well understood by carers. Regular monitoring and analysis of incidents that occurred at the service was undertaken to identify and act upon any patterns or trends developing. The provider operated safe recruitment practices. People were appropriately supported by carers with their medicines.

People were supported by carers who had regular supervision and had undertaken an effective induction when they started working at the service. Further training had been identified and planned for to ensure carers had the skills needed to support people safely. The registered manager had complied with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards. Carers supported people in line with these principles. However carers had not all received training in this area. People were supported with their nutritional and health care needs.

People had positive caring relationships with the carers. Support plans provided carers with guidance as to how people wished their care to be delivered. People were supported to make their own decisions and maintain their independence. People's privacy and dignity were protected.

People had been involved in developing their support plan to reflect their needs and their preferred routines. Carers were responsive to their needs. Communication between carers was effective and ensured people's changing needs and wellbeing was acted upon. People had access to a range of community facilities which reduced the risk of isolation. When people had raised concerns or complaints the registered manager had acted to resolve these.

People were positive that they had access to the registered manager to discuss their experiences. The registered manager understood their responsibilities for reporting certain incidents and events to us that had occurred at the service or affected people who used the service.

Inspection areas

Safe

Good

Updated 13 January 2017

The service was safe.

People were generally happy with the availability of carers but felt at times the length of call was not met.

Carers knew how to recognise and report any concerns to keep people safe from harm.

Potential risks to people’s safety had been identified and preventive measures were in place to keep people safe in their own homes.

People were supported by staff with any assistance they needed to take their medicines.

Effective

Good

Updated 13 January 2017

The service was effective.

People received support from carers who had received training and support to carry out their role.

People's consent to care was requested. The registered manager had followed the guidance of the Mental Capacity Act and Deprivation of Liberty safeguards to protect people. Carers had an understanding of these guidelines and training was planned.

People had support with their meals and access to healthcare services when they needed this.

Caring

Good

Updated 13 January 2017

The service was caring.

People had warm relationships with carers who supported them in a friendly, helpful way.

People were supported in planning their care. People’s dignity, privacy and independence were promoted.

Responsive

Good

Updated 13 January 2017

The service was responsive.

People received the care and support they required and carers responded to their needs in-between agreed care calls.

The registered manager had taken steps to respond to people’s complaints to ensure their experiences were enhanced.

Well-led

Requires improvement

Updated 13 January 2017

The service was not always well-led.

Systems in place to assess and monitor the quality and safety of the service were not always effective in identifying where improvements were needed.

People were encouraged to provide feedback on their experiences and themes were identified but the system for addressing and sharing findings was not clear.