Background to this inspection
Updated
18 April 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Beaconsfield Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection and formal notifications that the service had sent to the CQC. Notifications are information that registered persons are required to tell us about by law that may affect people’s health and wellbeing. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two staff including the registered manager and the head of operations. We spoke with one person living at the home. We used observations to help us understand the experience of people who could not talk with us. We looked at two care records and risk assessments, three people’s medicine records, three staff files including supervision and recruitment records, and other paperwork related to the management of the service including staff training, quality assurance and rota systems.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with three care staff, one relative, one learning disabilities nurse and received feedback via e-mail from a social worker that worked with people living at the home.
Updated
18 April 2020
About the service
Beaconsfield Road is a residential care home providing personal care and support for up to four adults with physical and learning disabilities and profound or complex needs. At the time of our inspection, three people were using the service.
The home is a large detached house in a residential area of Enfield, North London. People had large comfortable bedrooms. There was a large rear garden and a sensory room that people were able to freely access.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The service consistently applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Relatives and healthcare professionals told us they felt people were safe living at Beaconsfield Road. People’s personal risks were assessed and regularly reviewed. There were systems in place to ensure safe management and administration of people’s medicines. Staff understood safeguarding and how to raise any concerns.
People were supported by staff who received relevant training and support. People were supported and encouraged to choose what they wanted to eat and drink. Staff used multiple ways of communication with people who were unable to communicate verbally or had limited verbal skills.
Staff were kind and compassionate in their interactions with people. There was a homely atmosphere at Beaconsfield road which both relatives and healthcare professionals commented on positively.
There were systems in place to monitor and improve the quality of care and people’s experience of the home. We received positive feedback about how the home was managed.
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 09/01/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the providers date of registration with CQC.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.