Beada House

Beada House is registered to provide personal care to people who have their own tenancy; one of the 16 flats in Beada House. At the time of the inspection 15 people were supported by the provider. The provider offers aftercare services to people who may be on a Section 117 of the Mental Health Act or may be on a Probation Order issued by the Court. The provider provides 24 hour supported living to people with mental health diagnosis, who are offered short-stay tenancy agreements as part of their rehabilitation.

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

Staff knew people well and how to provide the agreed therapeutic support as part of people’s rehabilitation. Staff had a good understanding of mental health diagnosis and the importance of responding to any signs of relapse. A keyworker system enabled people to establish trusting professional relationships with people.

Risks were assessed and positive risk-taking management plans were agreed with people as a part of their agreed goals. These were reflected in personalised care plans. Staff promoted people’s independence and maintained people’s privacy and dignity.

Staff had received training on how to protect people from the risks of abuse and understood the importance of reporting any concerns.

Communal areas of Beada House were clean and well maintained. People had their prescribed medicines available to them and were supported with these as needed by trained care staff.

There were enough staff and people received their therapeutic support at agreed times. The provider had a safe recruitment system to ensure staff’s suitability to work with people.

People were referred to Beada House by healthcare professionals and detailed initial assessments were completed before care and support was offered to people. Staff supported people to access healthcare services. Staff worked within the principles of the Mental Capacity Act 2005 and understood the importance of gaining consent from people.

People were supported with cooking skills and staff were able to offer guidance about healthy eating options.

There were systems were in place for people to give their feedback on the service. People were offered one to one therapeutic support meetings with staff. Where people had complaints or concerns, these were acted on.

There were quality assurance systems in place to check the safety and quality of the services.

Rating at the last inspection

The last rating for this service was Good (published 27 April 2017).

Why we inspected

This was a planned inspection based on the rating of the last inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.

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

Beada House is a supported living service that provides domiciliary care and therapeutic support to people experiencing mental health difficulties in their own homes. At the time of our inspection, eight people were being supported by the service.

The service had 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 told us they felt safe with the staff who supported them, and we saw people were comfortable with staff. Staff received training in how to safeguard people from abuse and were supported by the provider who ensured staff followed safeguarding policies and procedures. Staff understood what action they should take in order to protect people from abuse. Risks to people’s safety were identified, minimised and flexed towards individual needs so people could be supported in the least restrictive way possible and build their independence.

People were supported with their medicines by staff who were trained and assessed as competent to give medicines safely. Staff recorded medicines administration according to the provider’s policy and procedure, and checks were in place to ensure medicines were managed safely.

There were enough staff to meet people’s needs effectively. The provider conducted pre-employment checks prior to staff starting work, to ensure their suitability to support people who lived independently. Staff told us they had not been able to work until these checks had been completed.

People told us staff asked for consent before providing them with support. People were able to make their own decisions and staff respected their right to do so. Staff and the registered manager had a good understanding of the Mental Capacity Act 2005.

People and relatives told us staff were respectful and treated people with dignity. We observed this in interactions between people, and records confirmed how people’s privacy and dignity was maintained. People were supported to make choices about their day to day lives. For example, they were supported to maintain any activities, interests and relationships that were important to them.

People had access to health professionals when needed and care records showed support provided was in line with what had been recommended. People’s care records were written in a way which helped staff to deliver personalised care and gave staff information about people’s communication, their likes, dislikes and preferences. People were involved in how their care and support was delivered.

People and relatives told us they felt able to raise any concerns with the registered manager. They felt these would be listened to and responded to effectively and in a timely way. People and staff told us the management team were approachable and responsive to their ideas and suggestions. There were systems in place to monitor the quality of the support provided, and the provider ensured people were at the centre of helping the service to develop.