Background to this inspection
Updated
21 December 2021
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 Care Act 2014.
Inspection team
The inspection was undertaken by one inspector and Expert by Experience who made phone calls to people and their relatives for feedback. 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 two ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service had a manager 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
This inspection was announced.
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also reviewed information we held about the service which included notifications of events and incidents at the service.
During the inspection
We looked at three people’s care files including their medicine management record sheets, three staff files, quality assurance reports and other records relating to the management of the service including incidents and accidents records. We spoke with two people using service, two relatives, two support staff, and two registered managers. We visited one person in their supported accommodation to observe how staff supported them.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service
Updated
21 December 2021
About the service
Bethal Manna provides personal care to people living at home and in supported living settings. The people they support experience mental health needs. At the time of our visit, the service supported five people with personal care needs.
People’s experience of using this service and what we found
Risks to people were assessed and managed adequately to reduce the likelihood of harm to them. Lessons were learned from incidents and accidents. People were safeguarded from abuse. There were enough staff available to support people with their needs. People’s medicines were managed safely. Staff followed infection control procedures to reduce risks of infection.
People’s needs were assessed before they started using the service. Staff supported people to eat and drink enough to maintain their nutritional and hydration needs. People had access to health and social care services they needed.
Staff were supported to be effective in their roles through regular training, supervisions and annual appraisals. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. 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 consented to their care before they were delivered.
People were treated with dignity and respect. Staff also respected and promoted peoples protected characteristics. People had individualised care plans in place which detailed their care and support needs. People were involved in planning and in the delivering of their care and support. People were supported to maintain their independence. People’s communication needs were included in their care plans. People received support to meet their individual needs.
There was a complaints procedure available. People knew how to complain if they were unhappy with the service. The views of people were sought about the service. The quality of the service was regularly assessed through audits and checks. The provider worked in partnership with other organisations to develop the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: This service was registered with us on 20/09/2019 and this is the first inspection.
Why we inspected
This was a planned inspection based in line with our inspection programme for newly registered services.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bethal Manna Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.