Beaumont Healthcare Limited

Updated 27 April 2019

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.

Service and service type:

Beaumont Healthcare Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to younger adults, people living with dementia, people with a learning disability, people with mental health needs, a physical disability and sensory impairments. Not everyone using Beaumont Healthcare Limited receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service had two managers 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:

We gave the service five days’ notice of the inspection site visit because some of the people using it could not consent to a home visit from an inspector, which meant that we had to arrange for a ‘best interests’ decision about this. This was so we could speak with a relative or advocate who was able to tell us about people's care.

Inspection site visit activity started on 3 April 2019 and ended on 5 April 2019. We visited the office location on 5 April 2019 to see the registered managers and office staff; and to review care records and policies and procedures.

What we did:

• Before this inspection we checked the information we held about the service and the provider, such as notifications. A notification is information about important events which the provider is required to send us.

• The provider had completed and submitted a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to assist with the planning of the inspection.

• We spoke with seven people using the service, eight relatives of people who could not speak with us, the registered managers, two service managers, a senior care coordinator, a senior team leader, a senior support worker and three care staff. We also received feedback from the local safeguarding authority and one healthcare professional.

• During the inspection we looked at various records, including care records for five people, as well as other records relating to the running of the service. These included two new staff files, medicine administration records, audits and meeting minutes.

Updated 27 April 2019

About the service:

Beaumont Healthcare Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to younger adults, people living with dementia, people with a learning disability, people with mental health needs, a physical disability and sensory impairments. The service is provided from an office based in Eaton Socon.

Not everyone using Beaumont Healthcare Limited receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection staff were providing care to 267 people.

Peoples experience of using this service:

People were safeguarded from the risk of harm by a sufficient number of safely recruited staff who were given skills to safely manage any identified risk. Trained and competent staff administered and managed people's medicines safely. Risk to people were managed well and lessons were learned when things did not go quite so well. Infection control systems promoted good hygiene standards.

Skilled staff were supported, supervised and mentored to effectively meet people’s needs. Staff encouraged and promoted people’s eating and drinking. Staff enabled people to access healthcare support by working well with others involved in people’s care. 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 were cared for by staff with compassion, kindness and dignity. Staff knew people well and they promoted people’s privacy and independence. Systems were in place to ensure people made decisions about who and how their care was provided.

People’s care was person centred and based on what mattered to them. The provider responded to people’s concerns in line with their policies to the person’s satisfaction. Systems were in place to meet people’s end of life care needs and help ensure a dignified and pain free death. One relative told us that the difference staff made to their family member was they had “Given them a new lease of life.”

The registered managers led by example and they fostered an open and honest staff team culture where staff felt valued and supported. Quality assurance, governance and audits helped identify and drive improvements. People had a say in how the service was run and developed. The service and its management team worked with other organisations such as health professionals and safeguarding teams to the benefit of people.

Rating at last inspection: Good (report published 19 August 2016).

Why we inspected: This was a planned inspection based on the previous rating.

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-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