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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2018

Beaumont Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Beaumont Hall accommodates up to 60 people in one adapted building and provides accommodation over three floors. The service specialises in caring for older people including those with physical disabilities and people living with dementia.

At our previous inspection in July 2017 we rated the service as 'requires improvement'. We found improvements were needed to ensure that risks to people’s safety were assessed and managed.

People did not always receive their medicines as prescribed and care provided was not responsive or personalised. The provider was asked to complete an action plan to tell us what they would do to meet legal requirements for the breaches in safe care and treatment, and person-centred care.

You can read the report from our last comprehensive inspection and our focused inspection, by selecting the 'all reports' link for Beaumont Hall on our website at www.cqc.org.uk.

This inspection took place on 11 June 2018 and was unannounced. We returned on 12 June 2018 announced to complete the inspection. At the time of our inspection visit 51 people were in residence.

At this inspection we found the provider had followed their action plan and made the required improvements to meet the legal requirements.

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.

The registered manager understood their legal responsibilities. They provided good leadership and supported staff and people who used the service. The registered manager and the staff team were committed to providing quality care and welcomed feedback and suggestions to enhance people’s quality of life.

People were supported to stay safe. Risks associated with people’s needs had been assessed; safety measures were put in place and they were monitored and reviewed regularly. Staff were provided with clear guidance and information to follow to meet people’s needs. A new electronic care planning system was in place.

People received their medicines as prescribed. Medicines were stored and managed safely. People’s nutritional and cultural dietary needs were met and they had access to a range of specialist health care support that ensured their ongoing health needs were met.

Systems and processes were in place to safeguarding people from abuse; these covered staff recruitment practices and staff training and knowledge on safeguarding procedures. Staff were recruited safely and there were sufficient numbers of staff available to support people. Staffing levels were kept under review to ensure people received sufficient staff support.

People to be involved in decisions made about all aspects of their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People had developed positive trusting relationships with the staff team. People’s privacy and dignity was respected and independence was promoted. The design and homely environment ensured people’s safety and privacy. People continued to receive good care and support that was responsive to their individual needs.

Staff promoted and respected people’s cultural diversity and lifestyle choices. Care plans were personalised and provided staff with guidance about how to support people and respect their wishes. Information was made available in accessible formats to help people understand the care

Inspection areas

Safe

Good

Updated 7 August 2018

The service improved to good.

People�s safety had improved. Risks associated to people�s needs were managed safely and monitored. People were supported with their medicines safely.

Staff were recruited safely and there were enough staff to provide care and support to people when they needed it. Staff understood their responsibilities to keep people safe from harm. Staff were trained in safeguarding; safety procedures and staff consistently followed the infection control procedure.

Systems and checks were in place to ensure people lived in a safe environment. Lessons were learnt and improvements made when things went wrong.

Effective

Good

Updated 7 August 2018

The service improved to good.

People needs were assessed and they made decisions about all aspects of their care that ensured their needs were effectively met. Staff sought people�s consent and their human and legal rights were respected.

People were supported to maintain their nutrition, health and well-being where required. Staff worked in partnership with other health care professionals top meet people�s ongoing health needs.

People received support from dedicated staff team who had the necessary skills and knowledge. A system was in place to provide staff with on-going training, support and supervision.

Caring

Good

Updated 7 August 2018

The service remained caring.

Responsive

Good

Updated 7 August 2018

The service improved to good.

People�s needs were comprehensively assessed; they were involved in the development and review of their plan of care. People received person centred care as their care plans provided staff with clear guidance about how they wished to be supported.

Staff promoted equality and diversity, and respected people�s values, views and their backgrounds. People took part in a range of activities and social events that enhanced their physical and mental wellbeing, and their sense of belonging to a community.

Policies, procedures and information was available in accessible formats. People knew how to complain and were confident that any concern would be dealt with appropriately.

Well-led

Good

Updated 7 August 2018

The service improved to good.

The service had a registered manager. They understood their role and responsibilities, provided good leadership and worked in partnership with other agencies.

The registered manager and the staff team worked in accordance with the provider�s visions and values to provide quality care.

The provider�s governance system was used effectively to assess, monitor the quality of service and bring about change. Policies, procedures and systems in place enabled staff to provide quality care.

People and staff�s views about the service were sought and used to drive improvements. They were all confident that any concerns raised with the registered manager would be listened to and acted on.