Archived: Beulah Crescent

Updated 27 February 2019

The inspection:

• We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

• The inspection was carried out by one inspector on 5 February 2019.

Service and service type:

• Beulah Crescent is a supported living service. It provided personal care and support to five people living in a shared house.

• The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

• The inspection was unannounced.

What we did:

• Before our inspection we reviewed information we held about the service. This included notifications the provider is required by law to send us about events that happen within the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

• During our inspection we spoke with four people using the service. We observed interactions between people and staff to help us understand their experiences of receiving care and support at the service. We spoke with the registered manager, the deputy manager, two staff members and we observed a team meeting with another seven staff. We looked at records which included two care plans, medicine records and other records relating to the management of the service.

• After our inspection we spoke with one relative of a person using the service and the registered manger sent us additional information such as resident and staff meeting minutes, staff training, staff rotas and quality checks.

Updated 27 February 2019

About the service:

• Beulah Crescent provides 24-hour care and support for people aged 40 and above with learning disabilities and additional mental health needs.

• The service has two ground-floor bedrooms with stairs leading to four first-floor bedrooms. One first floor bedroom was not in use at the time of our inspection. On the first-floor people could use a communal bathroom and shower room and a further toilet was situated on the ground floor. People shared a communal lounge/dining room and kitchen.

• This service provides care and support to people living in a ‘supported living’ setting, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

• At the time of our inspection five people were using the service.

People’s experience of using this service:

• The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways: promotion of choice and control, independence and inclusion. For example, people’s support focused on them having as much choice and control over their everyday lives as possible.

• People were happy and comfortable at the service, people spoke to staff about how they felt and what they wanted. Staff took time to listen and responded appropriately. Staff were kind and caring.

• People continued to receive safe care by staff who knew the risks people faced. Staff supported people to be independent while keeping them safe.

• Managers and staff knew how to record and report concerns, this included any safeguarding concerns. When an incident or accident happened, the cause was investigated and changes were made to make things better for people.

• Staff had received training and had the support they needed to do their job well.

• People were encouraged to make everyday choices about their lives, this included choice about their food and drink, the activities they wanted to do and keeping in touch with friends and family.

• Staff supported people to attend health care appointments and made sure heath care professionals knew how best to support them during treatment.

• People were asked their views about how the service was run and what the service could do better.

• Managers and staff put people at the centre of the service.

• Improvements and maintenance were needed around the service to keep people safe and to make it a nicer environment for people to live in. The provider and the landlord were in discussions about the improvements that needed to be made. After our inspection we were provided with an action plan of essential work to be completed together with expected completion dates. We were assured that improvements would be made and will monitor progress. We will look at this again during our next inspection.

• The service continued to meet the characteristics for a rating of “good” in all the key questions we inspected. Therefore, our overall rating for this service after our inspection was “good”.

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

Rating at last inspection:

• Good (The date the last report published was 10 August 2016)

Why we inspected:

• This was a planned inspection based on the rating at the last inspection.

Follow up:

• We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.