Background to this inspection
Updated
10 March 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector and an Expert by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Beulah Vista Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Beulah Vista Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since they were registered. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people using the service and 5 relatives. We asked them for their views about the safety and quality of care and support provided at the service. We observed interactions between people and staff to understand people’s experiences. We spoke with the registered manager, the deputy manager, a registered nurse, a senior care support worker, the office administrator, the receptionist, the chef and the maintenance person. We reviewed a range of records. This included 3 people's care records, records relating to medicines management, 3 staff recruitment files, staff training and supervision information and other records relating to the management of the service.
Updated
10 March 2023
About the service
Beulah Vista Care Home is a care home providing personal and nursing care to up to 59 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 18 people using the service.
People’s experience of using this service and what we found
People were safe at Beulah Vista Care Home. Staff had been trained to safeguard people from abuse and knew how to report any concerns to the relevant people and agencies. Staff understood how to manage identified risks to people’s safety and wellbeing to help keep people safe. There were enough suitably skilled and experienced staff to support people and meet their needs. Recruitment and criminal records checks were carried out on staff to make sure they were suitable to support people. Health and safety checks were carried out of the premises and equipment to make sure they were safe. The premises were clean, tidy and hygienic. Staff followed current infection control and hygiene practice to reduce the risk of infections.
People were involved in planning and making decisions about their care and support. People could state their choices and preferences for how their care and support should be provided and their care records reflected this. Staff knew people well and how to meet their needs. They were provided with relevant training to help them do this. Staff were valued by managers and encouraged to learn and improve in their role. They were supported to put people’s needs and wishes at the heart of everything they did.
People were supported to stay healthy and well. Staff helped people to eat and drink enough to meet their needs and to take their prescribed medicines. Staff understood people’s healthcare needs and how they should be supported with these. They were observant to changes in people’s health and wellbeing and made sure people could access support from healthcare professionals when needed. The service worked with other healthcare professionals to ensure a joined-up approach to the care and support people received and acted on their recommendations to deliver care and support that met people’s needs.
People were happy with the care and support they received from staff. Staff were kind, caring and treated people well. Staff supported people in a dignified, respectful way which maintained their privacy and independence. 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 participated in a wide range of activities and events at the service. Relatives and friends were free to visit people without any unnecessary restrictions. The home had been designed and decorated to a high specification, to meet people’s needs. People had a choice of spaces to spend time in at the service, to build relationships and socialise with others.
The service was managed well. The registered manager had the necessary skills and experience to perform their role and had a clear understanding of how people’s needs should be met. They undertook checks at regular intervals, to monitor, review and improve the quality and safety of the service. The provider was ambitious and had plans in place to grow and expand the service in a safe, manageable way whilst maintaining consistency in the care and support provided to people.
There were systems in place to obtain people’s feedback about how the service could be improved and these were acted on. Accidents, incidents and complaints were fully investigated and people involved and informed of the outcome. Learning from these was shared with the staff team to help the service improve the quality and safety of the support provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 7 April 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.