Archived: Bethphage 2

Updated 15 May 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.

Service and service type: The service is registered to provide supported living and domiciliary care to adults in their own home. The service supports people with learning disabilities, younger adults, people with physical disabilities and people with mental health needs.

There were four registered managers working for the service at the time of inspection. Each one was responsible for a different geographical area and the care the provider delivered within that area. Registered managers together with the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: We gave the service 48 hours’ notice of the inspection visit. As the service is spread out across the county and we needed to ensure the managers would be able to meet us at the registered office for the inspection to be carried out.

What we did: Prior to the inspection we reviewed information we held on the service. This included the Provider Information Return (PIR) which providers are required to send us and includes key information about their service, what they do well, and improvements they plan to make. Providers are also required to notify us of specific events which include, safeguarding concerns, events that stop a service and deaths. We reviewed all the notifications we had received since the last inspection.

During the inspection we spent the majority of our time at the registered office however, we were invited to visit two properties. Visiting the properties gave us the opportunity to speak with two people and observe the care of three other people. We spoke with one relative and with ten staff who worked for the provider. They included support workers, a team leader, three of the registered managers, the area manager and the quality lead.

When in the registered office we reviewed various records held by the service which included four care plans, three staff files, health and safety records, audit reports and action plans, complaints and accident and incident forms

We also contacted the local authority and asked them to share any feedback they may have.

Updated 15 May 2019

About the service: Bethphage 2 is registered to provide supported living and domiciliary care to people in their own homes. At the time of inspection 37 people were receiving a service, however, only 23 people were in receipt of the regulated activity ‘personal care’. Under the Health and Social Care Act (2008) only people in receipt of a regulated activity can be inspected by CQC.

The registered office for the service is located in a community centre, close to local amenities.

People’s experience of using this service: People were safeguarded from harm by staff recruited using safe recruitment procedures. Risks to people’s safety were assessed and medicine was administered by staff who had received the relevant training. Infection control measures were in place and where lessons had been learnt following an accident or incident, information was shared amongst the staff team.

Peoples care needs were assessed and reviews took place. People were supported by staff who had received training relevant to their role. People were supported to maintain a balanced diet and have access to drinks when they wanted one. People were supported to access health care services and the principals of the Mental Capacity Act 2005 were met. Staff worked with people to maintain their own property.

Staff treated people with kindness and respect. People were involved in decisions about their care and their privacy was respected.

People received personalised care and any complaints received were formally investigated. End of life care and advance decisions had been considered for some of the people supported.

Staff understood the values of the organisation and the registered managers were clear on their responsibilities. People and their families were involved in giving their opinion on the service and a local advocacy charity supported the quality assurance process. The provider worked in partnership with others and promoted best practice.

We feel that the service has met the requirements of good and more information is in the full report

Rating at last inspection: At the last inspection the service was rated as good (report published 6 October 2016)

Why we inspected: The service was inspected in line with our methodology and the previous rating of good.

Follow up: We will continue to monitor the service and review any intelligence received to inform future inspections.