Background to this inspection
Updated
5 December 2018
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.
This was an unannounced inspection that took place on 18 October 2018. It was carried out by one adult social care inspector.
The provider completed a Provider Information Return in advance of the inspection. 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.
Before the inspection, we checked for any notifications made to us by the provider, any safeguarding alerts raised about people using the service, and information we held on our database about the service and provider. Statutory notifications are pieces of information about important events which took place at the service, such as safeguarding incidents, which the provider is required to send to us by law.
There were two people receiving a regulated activity from the service. During the inspection, we received feedback about the service from both people. We also spoke with two staff members and the registered manager.
During our visit to the office we looked at the care files of both people receiving a personal care service along with the file for someone who used to use the service. We checked the personnel files of three staff members, and other records relating to the care delivery and management of the service such as visit planning records. The registered manager provided us with copies of other documents such as policies following our visit.
Updated
5 December 2018
Southgate Beaumont DCA provides care and support, also known as ‘assisted living’, 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. For this service, people’s flats are within the same building as a care home that is also managed by the provider. The accommodation is bought, and is the occupant’s own home. People’s care (if needed) and housing are provided under separate contractual agreements.
CQC does not regulate premises used for extra care housing. Additionally, not everyone using Southgate Beaumont DCA receives a 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 there were two people using this service.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
People using the service spoke positively about it, telling us they were “very satisfied” and that “everything’s alright.” They said they would recommend it to friends and family.
The service ensured that people were treated with kindness, respect and compassion. This included providing people with the same capable staff so that trusting relationships developed. The service also had ways of promoting social inclusion.
The service supported people to express their views wherever possible and be actively involved in making decisions about their care and support. Individualised care plans were in place, and so people received care which was responsive to their needs. Within these processes, safety assessments took place, although records of taking action as a result of these were not clear.
The service had processes that aimed to safeguard people from abuse, and ensure staff recruitment procedures kept people safe. There were also systems to prevent the spread of infection, and to learn lessons and make improvements when things went wrong.
The service made sure staff had the skills, knowledge and experience to deliver effective care and support, and worked to promote people's human rights. There were good support structures for staff.
The service generally assessed people’s needs and preferences so that care and support was delivered in line with standards to achieve effective outcomes. However, we have recommended reviewing how this works for anyone returning to the service following a period in hospital.
Where part of their care package, people were supported to maintain good health and nutrition, and access appropriate healthcare services.
Systems at the service enabled sustainability and supported continuous learning and improvement. This included expanding the scope of what this service could safely and effectively provide people with, to better meet wider care needs.