Beach Road

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People had lived at Beach Road for many years; this meant their original assessments were no longer relevant. However, it was clear from their support plans the registered manager and staff carried out ongoing and dynamic assessment of people’s needs. Observations showed staff allowing people time to process information and explaining what they were doing. Easy‑read MCA information and social stories were available in the service. Care plans were reviewed and updated, with evidence of professional involvement such as Speech and Language Therapy (SALT) and dieticians.

The organisation has a robust policy for carrying out assessments before admission for prospective new people. This included visits and getting to know the person and involving everyone in their existing support network if appropriate. The registered manager explained they felt it was very important to take their time to really assess compatibility with the people already living at Beach Road.
 

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff understood people’s needs and received training in specific areas such as Autism awareness and Positive behaviour Support (PBS). People received support that reflected recognised good practice. Positive Behaviour Support plans focused on understanding the function of behaviour rather than restrictive approaches. Observations showed staff supporting people in a patient and reassuring way during care tasks and medicine administration. One staff member described the approach as, “A different way to understand, be patient and kind and caring”. This demonstrated care in line with Right Support, Right Care, Right Culture guidance.
 

The provider worked well across teams and services to support people, ensuring individuals only needed to tell their story once by sharing assessments of need when moving between services.

The registered manager gave examples of effective joint working both within the service, the wider organisation, with family members, and with external professionals.
When staff and leaders identified needs that fell outside the agreed care package, they escalated these appropriately to relevant agencies. This approach supported improved communication and coordination, which was reflected in feedback from relatives, one of whom commented, communication with the team had, “Greatly improved.”

Staff spoken with during the inspection were confident in their roles and knowledge of people they supported. Leadership was visible and well known to people and staff, supporting a positive and open working environment.
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Some people were supported with meal planning and preparation. Staff consistently described supporting independence and empowering people to live healthier lives by listening to their needs, adapting care and ensuring they were responsive to people’s feedback. We observed people being supported to be involved in their meal choices. One person seemed very pleased and was smiling when he received praise from a staff member for taking their cup to the kitchen.

Staff were also aware where people were not making healthy choices which impacted their medical conditions and sought involvement from health professionals to consider best ways to support people.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People’s support records confirmed regular internal reviews were completed and the provider sought wider reviews with health professionals and or the local authority.

Staff monitored people on a day-to-day basis. Where needed, referrals to healthcare professionals were made. Documentation showed outcomes such as increased communication, engagement and independence were recognised and recorded. Staff reflected positively on people’s progress. One staff member said, “I am really proud of how far [person] has come.”
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Where people did not have the capacity to make certain decisions, appropriate and decision specific capacity assessments had been carried out. These had been made with those involved in the care, such as family members or health professionals, so that decisions could be made in their best interests.

Staff were clear about ensuring people made as many decisions for themselves as possible. For example, one staff told us, “I always offer choices, usually 2 such as orange or blackcurrant and show them so they can see what is being offered.” The staff member went on to explain people change their minds so don’t assume a person might always want blackcurrant.