• Care Home
  • Care home

Beulah Road

Overall: Good read more about inspection ratings

55 Beulah Road, Thornton Heath, Surrey, CR7 8JH (020) 8653 6377

Provided and run by:
Achieve Together Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of Assessment: 9 to 11 September 2025.

Beulah Road is a residential care home that provides personal care and support to people with a learning disability and autistic people. The service can accommodate up to 7 people. At the time of this inspection, 5 men resided at the care home.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

We undertook this inspection to check the provider had improved and followed the action plan we required them to complete after we had found they were in breach of regulations at their last inspection.

This inspection was conducted by a single adult social care inspector and was unannounced. We reviewed 21 quality statements in relation to the 3 key questions, Is the service safe, effective, and well-led? For all the other key questions which were not reviewed as part of this inspection we used the ratings awarded at their last inspection to calculate the overall rating.

The service was rated requires improvement at their last inspection [published 25 October 2022]. Based on the findings of this inspection the services overall rating has now changed from requires improvement to good. This is because the service has improved how they now managed safeguarding incidents, risk, staff training, infection prevention and control and their governance systems.

The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. Staff understood and managed risks well. The facilities and equipment used in the care home met people’s needs, was kept clean and were well-maintained. There were enough staff with the right skills, knowledge, and experience. Staff received regular and relevant training and supervision. Staff understood their roles and responsibilities. Staff managed medicines well and involved people in reviewing any changes.

People engaged in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health care needs. Care was based on latest evidence and good practice. Staff monitored people’s health to support healthy living and make sure people always had enough to eat and drink. Staff made sure people understood the care and support they received to enable them to give informed consent. Staff involved those important to people, took decisions in people’s best interests where they did not have mental capacity.

Managers and staff had a shared vision and culture within the care home based on listening, learning, and trust. The registered manager was knowledgeable and supportive, helping staff develop in their roles. They treated staff fairly and respected their wellbeing. Staff felt supported to give their feedback. Managers collaborated with the local community to deliver the best possible care and were receptive to innovative ideas. There was a culture of continuous improvement with staff given time and resources to try innovative ideas.

17 August 2022

During a routine inspection

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Beulah Road is a residential care home providing accommodation and personal care to up to seven people with learning disabilities and/or autistic people. There were six people living there at the time of the inspection.

People's experience of using this service and what we found

Right Support

The service did not always monitor, manage and mitigate all risks to people. Not all risks to people had appropriate support plans. This put some people at risk of potential harm.

The service supported people to have the maximum possible choice, control and independence. Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to pursue their interests and achieve their aspirations and goals.

The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Staff did everything they could to avoid restraining people. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced.

Staff provided people with care and support in a clean environment. People had a choice about their living environment and were able to personalise their rooms. People benefitted from an interactive and stimulating environment.

The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support to travel wherever they needed to go. Staff supported people to take part in activities and pursue their interests and to stay in touch with people important to them.

Staff enabled people to access specialist health and social care support in the community. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care

People were not always supported by suitably trained, skilled and competent staff. Staff training in many areas of care was not up to date. Not all staff could sufficiently demonstrate they understood how to recognise and report abuse. This meant the provider had not ensured people were sufficiently protected from the risk of abuse.

Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. The service worked well with other agencies to do so.

People could communicate with staff and understand information given to them because the permanent staff understood their individual communication needs. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because the permanent staff had the necessary skills to understand them.

People's care and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People received care that supported their needs and aspirations and was focused on their quality of life.

People could take part in activities and pursue interests that were tailored to them. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture

Staff turnover had been high and the provider used agency staff to ensure there were enough staff to meet people’s needs. Not all agency staff knew people well and this meant sometimes there was a lack of consistent care.

The provider had not engaged sufficiently with people’s families. This meant people’s families were not sufficiently involved in developing the service.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. The permanent staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

Staff placed people's wishes, needs and rights at the heart of everything they did. People and those important to them, including advocates, were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff valued and acted upon people's views.

People's quality of life was enhanced by the service's culture of improvement and inclusivity. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

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

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.