- Care home
Beacon House
Report from 10 January 2024 assessment
Contents
Ratings
Our view of the service
An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. We expect health and social care providers to guarantee autistic people and people with a learning disability 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.’ Beacon House is a residential care home providing the regulated activity of accommodation and personal care to up to 5 people. The service provides support to people with learning disabilities and autism. At the time of our inspection 4 people were using the service. We carried out our on-site assessment on 30 January and 5 February 2024, off site assessment activity started on 30 January 2024 and ended on 8 February 2024. We looked at 11 quality statements; Safeguarding; Involving people to manage risks; Safe and effective staffing; Medicines Optimisation; Assessing needs; Monitoring and Improving Outcomes; Consent to care and treatment; Independence, choice and control; Workforce Wellbeing and Enablement; Listening to and Involving People and Equity in experiences and outcomes. At the time of our assessment there was a newly registered manager at the service.
People's experience of this service
The service was not always able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture Right Support: People told us they felt safe. Care and support were provided in a homely environment which met people's physical and sensory needs. People living at the service had adapted their bedrooms to their likings. People's independence was promoted where possible. People were supported to have maximum choice and control of their lives the majority of the time and staff supported them in the least restrictive way possible and in their best interests, although the policies and systems in the service did not always support this practice. Right Care: Care and treatment was not always planned and delivered in a way which was intended to ensure people's safety and welfare. Not all risks to people had been identified and assessed. People and their relatives told us they felt there were enough staff to meet people's needs, however with only 1 member of staff on duty at night, this compromised the safe care and treatment of people currently living at the service and we were not assured safe evacuation of the premises could be carried out in the event of an emergency. Not all staff had up to date training on the safe administration of medicines and not all staff had been regularly assessed as competent to do so. Right Culture: We found limited evidence to demonstrate people using the service were involved in the assessment of their needs or developing their care plan and risk assessments. People’s feedback had been obtained to improve people's day to day quality of life, however the last staff and relative surveys could not be located making it difficult to ascertain if or how the service responded to the feedback received. Most people living at the service made choices and took part in activities which were part of their planned care and support. However a relative told us, "I don't think they [Staff] do much with [Name].