What the CQC found at Beulah Road

Inspectors found that people were treated with compassion and that staff protected their dignity, privacy and equality.

“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report

Staff supported people to make choices, follow their interests and do tasks for themselves where possible.

“The service supported people to have the maximum possible choice, control and independence.” from the report

People were supported to take part in activities that matched their interests, including shopping, swimming, walks, crafts and community activities.

“People were supported to do a wide range of things they liked doing.” from the report

Inspectors found that medicines were stored and administered safely, with trained staff and audits in place.

“Medicines management systems and processes followed national guidance.” from the report

An unclear diabetes plan and missed monitoring checks created a risk of harm. Other behaviour-related checks did not include everything required by the care plans.

“One person's diabetes support plan was unclear and unsafe, and staff did not always follow the instructions for monitoring the person's blood sugar levels.” from the report

Opened food had opening dates but not use-by dates. Some food had been open for five months and was still being used, creating a risk of food poisoning or infection.

“This put people at risk of potential food poisoning or infection.” from the report

Training in safeguarding, infection control, first aid, fire safety and autism awareness was overdue for some staff. Some staff could not show enough knowledge about recognising and reporting abuse.

“According to the provider's training records, some staff training was overdue by up to one year.” from the report

The home relied heavily on agency staff to meet minimum staffing levels. Some agency staff did not know people well, which affected consistency and some activities.

“This sometimes provided some continuity of care for people.” from the report

Families said they were not contacted often or quickly enough. Some said calls and requests for updates or photographs were not followed up.

“The provider did not engage sufficiently with people's families.” from the report

Management audits did not identify the problems found during the inspection. The registered manager had to help cover staffing shortages and did not have enough management support.

“The provider's audits were not always accurate and therefore, were not always effective.” from the report