Background to this inspection
Updated
2 June 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.
Inspection team
The inspection was carried out by 1 inspector and 1 Expert by Experience. 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
This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service. The service provides support to people with physical disabilities, sensory impairments, mental health needs, dementia, and autistic people and people with a learning disability.
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 the last inspection. 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 7 people and 3 people’s relatives to gain their feedback on the care and support provided. We observed staff support in shared areas of the building. We received feedback from 2 visiting professionals who work with the service. We spoke with 8 members of staff and reviewed written feedback from 4 others. This included care workers, shift leaders, team leaders, the administrator, the registered manager, and the operations manager. We reviewed 4 people’s care plans, 2 staff recruitment files, and a range of records relating to governance of the service, including audits, policies and procedures.
Updated
2 June 2023
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
Beaumont House is an Extra Care service providing personal care to 55 people at the time of the inspection.
People’s experience of using this service and what we found
Right Support: The model of care and setting enabled people to exercise choice, control and independence in their own lives. Despite people living within their own self-contained apartments, the service proactively fostered community and companionship, both for neighbours within Beaumont House, and within the local area more widely. This included through links to support groups, advocacy, charities, and local amenities.
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.
Right Care: Care is extremely person-centred and promotes people’s dignity, privacy and human rights, which is at the heart of the service provided. Highly motivated staff were exceptionally compassionate, caring and kind, regularly taking proactive steps to enrich people’s lives and build genuine and trusting relationships founded on empathy. The service anticipates people’s needs and recognises distress and discomfort at the earliest stage, offering sensitive and respectful support and care. All staff positively welcome the involvement of advocates and encourage people to explore their care and support options for additional help and advice. Professionals who work with the service describe staff who exceed expectations in supporting good outcomes for people. Awareness of equality and diversity is valued and promotion of this is embedded into the service. As a result, people and staff feel respected, listened to, and influential, with their input and investment leading to innovative practice.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people could lead confident, inclusive and empowered lives. The registered manager described “breaking down barriers”, and proactively worked to create a positive, open culture. This included in relation to protected characteristics.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 26 February 2020.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.