We inspected this service on 14 July 2016. The inspection was unannounced. The service was last inspected on 25 September 2013, when we found the provider was compliant with the regulations we assessed at that time.Beacon View Home for Older People accommodates up to 45 people. There are three units, one of which is specifically for people with dementia. Each unit has lounges and dining areas as well as bedrooms. Accommodation is on two floors and there are two lifts as well as stairs. Accommodation is in single rooms and some of these have en-suite facilities.
The service is registered to provide accommodation for persons who require nursing or personal care. There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We found that risk assessments had been undertaken however not all identified risks had been assessed and managed by the service. The personal emergency evacuation plans we saw, did not contain adequate person centred information, to demonstrate how each individual could be best assisted to evacuate the premises, should the need arise.
Staff spoke knowledgably regarding medicines management and confirmed that they were trained appropriately. We looked at how people were protected from bullying, harassment, avoidable harm and abuse. We found that the service followed safeguarding reporting systems as outlined in its policies and procedures.
We looked at how the service gained people’s consent to care and treatment in line with the MCA. We found that the principles of the MCA were not consistently embedded in practice.
The premises were adapted to suit the needs of the people who lived there. The décor in the communal areas was welcoming and homely. The service had considered best practice guidance around dementia care when decorating the home.
The staff approached people in a caring, kind and friendly manner. We observed lots of positive interactions throughout the inspection. We observed staff speaking with people who lived in the home in a respectful and dignified manner. Staff understood the needs of people they supported and it was obvious that trusting relationships had been created.
People's views had been gathered using effective systems. These included regular resident and staff meetings. A number of audits were undertaken to help ensure that quality of the service, however, some of the audits lacked details of actions to improve the service. We found the registered manager receptive to feedback and keen to improve the service
We have made some recommendations about risk assessments, personal emergency evacuation plans, robust action plans following audits and ensuring the principles of the Mental Capacity Act are embedded in all practice.