Beyea Care Ltd

At our last inspection of 23 September 2015 the service was rated Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. However we have rated the key question Caring as Outstanding. This is because without exception people and relatives told us about the caring and compassionate care that they received. The care that people received was designed to demonstrate to people that they mattered. People talked about how their views and comments were listened to and acted on. The ways that people's care was planned for and met demonstrated the exceptionally caring service provided.

At our last inspection safe was rated as Requires Improvement, and there was a breach of Regulation 12; Safe care and treatment of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the service had not retained the information received from the pharmacy with people's monitored dosage system blister packs. At this inspection we found that the service was no longer in breach of the Regulation. There were systems in place to guide care workers about the types of medicines people had.

There was registered manager in post, who was also a director. 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.

The service provided a safe service to people. This included systems designed to minimise the risks to people, including from abuse. The service ensured there were sufficient care workers to cover people's planned care visits. Recruitment of care workers was completed safely. Where people required support with their medicines, this was carried out in a safe way. There were infection control procedures in place to guide care workers in how to minimise the risks of cross infection.

People's needs were met by care workers who were trained and supported. The service understood the principles of the Mental Capacity Act 2015 and people were supported to have maximum choice and control of their lives and care workers cared for them in the least restrictive way possible; the policies and systems in the service supported this practice. Where people required support with their dietary needs, systems were in place to support them. People were supported to have access to health professionals where needed. The service worked with other organisations involved in people's care to provide a consistent service.

People received care and support which was assessed, planned and delivered to meet their individual needs. There were systems in place to support and care for people at the end of their lives, if required. A complaints procedure was in place and complaints were acted upon and used to improve the service.

The service continued to have an open and empowering culture. The service used comments from people and incidents in the service to learn from these to drive improvement. The service had a quality assurance system and shortfalls were identified and addressed. As a result the quality of the service continued to improve.

Further information is in the detailed findings below.

The five questions we ask about services and what we found