Beech Tree House

The service was previously in breach of the regulationsin relation to safe care and treatment, safeguarding service users from abuse and improper treatment, need for consent and good governance. At this inspection the provider had demonstrated improvements and was no longer in breach of these regulations.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted.

People were encouraged to lead their lives in their chosen way and took control of decisions about their care. Independence was encouraged and supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were kept safe. Staff understood and managed risk while supporting people to take part in activities in their local community and try new things. There were enough staff with the right skills, qualifications, and experience. Managers ensured staff received training and regular supervision to maintain high-quality care. Medicines care plans were not consistently in place or accurate. However, the registered manager acted promptly during the inspection to address and rectify these issues. People had regular health checks and medicine reviews.

People received dignified care that respected their privacy and human rights. Individualised care and support plans were in place that enabled staff to provide appropriate, safe and person centred care for each person. People’s preferred communication styles were known and respected. Staff knew and understood what people were communicating by patterns of actions, gestures, or noises.

The values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive, and empowered lives. Staff and managers had shared values which were based on supporting people to have fun, smile and live a good life. Staff were supported by an internal positive behaviour support team who worked with them to understand people’s specific needs.