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Beckford Lodge Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 July 2019

About the service

Beckford Lodge is registered to provide personal care to people in their homes. The service supports two people in shared accommodation. The accommodation was a domestic dwelling situated within the Warminster local community.

Registering the Right Support and other best practice guidance ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

People’s experience of using this service and what we found

The service didn’t consistently apply the full range of the principles and values of Registering the Right Support and other best practice guidance. People were not empowered to shape their lives. There was a perception that people’s care needs had not changed for many years. This meant that their delivery of care was not in line with changes in guidance or with legislation.

Staff supported people in the least restrictive way possible and in their best interests.

Risk assessments were not always completed for risks identified. The Registered Manager and chief executive officer (CEO) told us the expectation was that the commissioners of the placements completed these risk assessments. The CEO said it was their duty of care under the Care Act Assessment. We will be discussing with commissioners the assessments of risk that relate to fire.

Medicine systems were not safe. The staff removed medicines from the multi compartment system (MDS) and left them “potted” for one person to take at a later date. The medicine care plan did not list the prescribed medicines we saw in the MDS system. The registered manager said this will be followed up, in line with the policies and procedures.

Care plans were not person-centred for one person. The registered manager said that because it was documented staff had to ask the person, this meant they were person-centred care plans. The registered manager said that because the care plan was developed with the person this was person-centred.

People we spoke with said they felt safe in their home and when staff were present. The staff had attended safeguarding of people at risk and knew the procedures for raising concerns.

There were systems in place to assess and monitor staff performance. Staffing levels were in line with the local authority’s assessment of people's needs.

The person we spoke with said they liked the staff, they were caring and their rights were respected. The person we spoke with said they made their day to day decisions. This person told us they were able to prepare their meals and staff assisted them with shopping for food.

People had access to the GP and to community NHS facilities.

The person we spoke with said they would approach the staff with concerns. There were no complaints received

The staff said the registered manager was approachable. They said the team was stable, they worked well together and covered vacant hours between themselves.

Quality assurance systems were based on the support plans in place. There was a tick system in place used by the registered manager to indicate support plans were in place and had been reviewed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good at the inspection dated 17 October 2016 and published in 22 November 2016.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see Safe, Responsive and Well Led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beckford Lodge on our website at www.cqc.org.uk.

Inspection areas

Safe

Requires improvement

Updated 18 July 2019

The service was not always safe.

Details are in our safe findings below

Effective

Good

Updated 18 July 2019

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 18 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 18 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 18 July 2019

The service was not always well-led.

Details are in our well-Led findings below.