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Inspection Summary


Overall summary & rating

Good

Updated 22 August 2018

The inspection took place on 09 and 10 July 2018 and was unannounced. Beacon House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Beacon House accommodates up to 23 people in one adapted building. At the time of the inspection 13 people were accommodated. The service also has seven bungalows on site but at the time of our inspection, no one living in the bungalows either required or was being provided with the regulated activity of personal care.

Since the last inspection a new manager had been appointed who had registered for the regulated activity of personal care and accommodation. Following this inspection, the registered manager has also applied to register for the regulated activity of personal care so they could provide this care to people living in the bungalows if required. 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.

At the last inspection in December 2017 we identified two continuing breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and two new breaches. The service remained in special measures and we met with the provider to confirm what they would do and by when to improve the key questions of safe, effective and well-led to at least good. At this inspection we found the requirements of these regulations had been met, four of the key questions have now been rated as good and safe has been rated as requires improvement with no breaches of regulations. Safe recruitment practices had been followed and relevant action was taken during the inspection to ensure long-standing staff updated their Disclosure and Barring Service checks. The premises and equipment had been regularly maintained and checked to ensure they were safe for people’s use. Audits and surveys were now effective and where issues had been identified action had been taken to address them for people and to drive service improvements. The registered manager understood what they were required to report and had ensured relevant notifications were submitted.

This service has been in special measures. Services that are in special measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall. Therefore, this service is now out of special measures. The provider has continued to work with CQC within the terms of their existing voluntary agreement to ensure that all new admissions have first been reviewed and agreed by CQC.

Risks to people had been identified and managed safely. The registered manager acted during the inspection to introduce a falls risk assessment to enable them to be able to demonstrate consistency in how they assessed falls risks to people. They were acting to ensure people’s risk assessments were reviewed monthly as described in their care plans. These actions still need to be embedded in staff’s practice.

Staff had undertaken relevant training to enable them to safeguard people from the risk of abuse. There were adequate numbers of staff to provide people’s care. People received their medicines safely from trained and competent staff who followed the medicines guidance provided. The service was visibly clean and staff followed the infection control guidance provided. Processes were in place to ensure learning took place following incidents.

The registered manager has ensured that staff have access to re

Inspection areas

Safe

Requires improvement

Updated 22 August 2018

The service was not consistently safe.

The provider had systems, processes and practices in place to safeguard people from the risk of abuse.

The provider followed safe practices when recruiting staff. They had taken relevant action to ensure long-standing staff were required to update their Disclosure and Barring Service checks periodically.

Risks to people had been identified and managed safely. Further work was underway to ensure consistency in the assessment of people�s falls risks and to ensure all risk assessments were reviewed monthly.

There were sufficient staff deployed to meet people�s needs.

People�s medicines were managed and administered safely.

People were protected from the risk of acquiring an infection.

Processes were in place to ensure learning took place following incidents.

Effective

Good

Updated 22 August 2018

The service was effective.

People�s needs were assessed and their care and treatment was delivered in line with current legislation and good practice guidance.

The provider had processes in place to ensure staff had the skills and knowledge required to provide people�s care effectively and that they were supported in their role.

People were supported by staff to eat and drink sufficient for their needs.

Staff worked together to deliver effective care, support and treatment.

People were supported by staff to access healthcare services.

The provider was refurbishing the service to ensure it was maintained and met the needs of people who used the service.

Caring

Good

Updated 22 August 2018

The service was caring.

People were treated with kindness, respect and compassion.

People were asked for their views and they were actively involved in decisions about their care.

People�s privacy, dignity and independence were respected and promoted during the delivery of their personal care.

Responsive

Good

Updated 22 August 2018

The service was responsive.

People received personalised care that was responsive to their individual needs.

People were provided with a varied range of both internal and external activities.

Processes were in place to enable people to make a complaint where required.

Work was underway to ensure people were consulted about their end of life wishes.

Well-led

Good

Updated 22 August 2018

The service was well-led.

There was a positive culture within the service that was person centred and open.

The registered manager understood what they were required to report and ensured relevant notifications had been submitted.

People, their relatives and staff were engaged and involved with the service.

Processes were in place and used effectively to evaluate and improve the quality of the service provided.

The service worked in partnership with other agencies in the provision of people�s care.