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Inspection carried out on 11 April 2019

During a routine inspection

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.

Inspection carried out on 31 August 2016

During a routine inspection

The inspection was announced and took place on 31 August 2016 and was a first inspection of the service since registration. Bethphage 2 provides personal care to people with learning disabilities or autistic spectrum disorder, people with mental health issues, physical disabilities or younger adults in a supported living environment and some in their own home. At the time of our inspection there were 8 people receiving regulated support from the service.

There were two registered managers in post at the time of our inspection. 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 were supported by staff that recognised how to identify the signs and symptoms of abuse and knew how to raise concerns. The risk of harm to people was assessed so risks were minimised. There were adequate numbers of trained staff who had the appropriate pre-employment recruitment checks to support people using the service. Staff arrived on time and stayed the required length of time for their visits. People received the medicines they required in order to support their health.

People were asked for their consent before care was provided. People received support with meal planning and shopping when needed and were supported to access healthcare services when required. People and relatives told us staff were kind and caring. Where possible people were cared for from a consistent team of staff. Staff supported people to make choices about their care. Staff supported people in a way that protected their dignity and privacy. People were supported by staff to maintain their independence and partake in a range of different interests.

People and their relatives were involved in decisions about their care and support. People and their relatives knew how to complain if they had any issues with the care they received. The provider dealt with complaints in a timely and thorough way.

People and staff told us the management team were approachable and supportive. Systems were in place to ask people their views about their care. Quality audit systems were in place and there was evidence actions plans were produced when improvement were needed