Beada House

Updated 16 November 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection Team

One inspector carried out the inspection.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own short-stay tenancy flat.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and the quality and safety of the care provided.

Notice of inspection

We gave notice of our inspection to the registered manager to ensure they would be available to support the inspection. Inspection activity commenced on 1 November 2019 and ended on 5 November 2019.

What we did before the inspection

We reviewed information we had received about the service since our last inspection. This included details about incidents the provider must notify us about, such as abuse. We also sought feedback from the local authority, which was positive. We used all the information to plan our inspection visit.

During the inspection

We spent time, and spoke, with five people in their flats to gain their feedback about the services. We spoke with three members of care staff, the deputy manager and registered manager. We reviewed a range of records. This included a review of three people’s care plans, medication records, daily care notes and risk management plans. We also looked at records relating to the governance and managerial oversight of the service. These included quality assurance checks, staff recruitment and training records.

Updated 16 November 2019

About the service

Beada House is registered to provide personal care to people who have their own tenancy; one of the 16 flats in Beada House. At the time of the inspection 15 people were supported by the provider. The provider offers aftercare services to people who may be on a Section 117 of the Mental Health Act or may be on a Probation Order issued by the Court. The provider provides 24 hour supported living to people with mental health diagnosis, who are offered short-stay tenancy agreements as part of their rehabilitation.

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

Staff knew people well and how to provide the agreed therapeutic support as part of people’s rehabilitation. Staff had a good understanding of mental health diagnosis and the importance of responding to any signs of relapse. A keyworker system enabled people to establish trusting professional relationships with people.

Risks were assessed and positive risk-taking management plans were agreed with people as a part of their agreed goals. These were reflected in personalised care plans. Staff promoted people’s independence and maintained people’s privacy and dignity.

Staff had received training on how to protect people from the risks of abuse and understood the importance of reporting any concerns.

Communal areas of Beada House were clean and well maintained. People had their prescribed medicines available to them and were supported with these as needed by trained care staff.

There were enough staff and people received their therapeutic support at agreed times. The provider had a safe recruitment system to ensure staff’s suitability to work with people.

People were referred to Beada House by healthcare professionals and detailed initial assessments were completed before care and support was offered to people. Staff supported people to access healthcare services. Staff worked within the principles of the Mental Capacity Act 2005 and understood the importance of gaining consent from people.

People were supported with cooking skills and staff were able to offer guidance about healthy eating options.

There were systems were in place for people to give their feedback on the service. People were offered one to one therapeutic support meetings with staff. Where people had complaints or concerns, these were acted on.

There were quality assurance systems in place to check the safety and quality of the services.

Rating at the last inspection

The last rating for this service was Good (published 27 April 2017).

Why we inspected

This was a planned inspection based on the rating of the last inspection.

Follow up

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

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