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Inspection Summary

Overall summary & rating


Updated 6 October 2017

This inspection took place on 4 and 6 September 2017 and was announced.

Beeston Drive provides care and accommodation for up to three people with a learning disability. There were three people using the service at the time of our inspection.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like 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.

We last inspected the service in February 2016 and rated the service as ‘requires improvement’ overall. At this inspection we found the improvements had been made and that all the regulations were being met.

Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager and staff understood their responsibilities with regard to safeguarding and had received training in safeguarding adults.

Appropriate arrangements were in place for the safe administration and storage of medicines.

The environment was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had a safe and effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following legal requirements in respect of Deprivation of Liberty Safeguards (DoLS). Staff knew how to protect the rights of people, who lacked mental capacity to make decisions. They also worked with others to promote people’s best interest, safety and liberty.

Staff were caring towards people and supported them to maintain the relationships that were important. People were supported to develop their independence and skills around daily living tasks. Staff treated people with respect and maintained their right to privacy.

People were supported by staff to meet their nutritional needs. Care records contained evidence of people being supported to attend visits to and from external health care specialists.

The registered provider had supported people who used the service with to access education opportunities. People were supported and encouraged to engage with activities outside of the service.

There was an effective complaints procedure in place and any concerns had been addressed appropriately

There was clear and visible leadership in the service. Staff and the registered manager understood their role and responsibilities. The provider had a range of audits in place to assess, monitor and improve the service. The registered manager involved people and staff in the running of the service. The registered manager complied with their statutory responsibility to submit notifications to the CQC as required.

Inspection areas



Updated 6 October 2017

The service was safe.

People were protected from harm and abuse. People received their medicines when they needed them and in a way that was safe. Medicines were stored safely.

Accidents and incidents were reported and investigated appropriately. Risk assessments were in place to assist staff in minimising the risk of harm.

There were enough staff on duty to meet peoples' needs. Appropriate checks were made when employing new staff.



Updated 6 October 2017

The service was effective.

Staff were suitably trained, supervised and appraised in their role.

People were supported by staff in making healthy choices regarding their diet.

People had access to healthcare services and received on-going healthcare support.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) to ensure people�s rights and best interest.



Updated 6 October 2017

The service was caring.

Information about people was stored securely and people's confidentiality was respected.

Staff knew people well, were kind, caring and compassionate and had developed positive relationships with people.

People were treated with kindness, respect and dignity. Staff encouraged and supported people to maintain relations with their family and friends.



Updated 6 October 2017

The service was responsive.

People's care plans were person centred and contained meaningful information about how a person wished to be supported.

A range of meaningful activities took place at the service to ensure people retained their independence and took pride in completing tasks and opportunities.

The registered provider took complaints seriously and these were addressed in an appropriate manner.



Updated 6 October 2017

The service was well led.

There was registered manager in place. Staff and relatives were positive about their leadership.

There was a quality assurance system with oversight of the service from the registered manager or the registered provider. This was effective in identifying and addressing issues.

CQQ were notified of concerns in line with our regulations.