# Beacon House

*Operated by Wilton Rest Homes Limited.*

Beacon House is a CQC-regulated home-care agency in Fleet.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 22/08/2018

## Practical info

- Postcode: GU51 4LG
- Local authority: Hampshire
- Region: South East
- City: Fleet
- Last CQC check: 24/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: People were involved in decisions about risk management and the service sought feedback via surveys and newsletters.
  - Published: 2023-09-13
- Finding
  - Evidence: Medicines were otherwise stored securely at correct temperatures, and staff competency-assessed annually.
  - Published: 2023-09-13
- Finding
  - Evidence: MCA and DoLS requirements were being met appropriately.
  - Published: 2023-09-13
- Finding
  - Evidence: Staff worked effectively with external professionals and agencies.
  - Published: 2023-09-13
- Finding
  - Evidence: New manager acted promptly on independent assessment findings, prioritising safety issues and creating improvement trackers.
  - Published: 2023-09-13
- Finding
  - Evidence: Incident recording and learning processes were in place, including a new lessons learnt form for falls.
  - Published: 2023-09-13
- Finding
  - Evidence: Processes were in place to safeguard people from abuse, with staff trained and knowledgeable about reporting.
  - Published: 2023-09-13
- Finding
  - Evidence: Sufficient staffing levels were maintained with shift leadership by senior carers and a duty manager.
  - Published: 2023-09-13
- Finding
  - Evidence: People reported feeling safe and well cared for by staff who knew them well.
  - Published: 2023-09-13
- **infection_control** _(minor)_
  - Evidence: We were not assured that the provider's infection prevention and control policy was up to date.
  - Published: 2023-09-13
- **supervision_appraisal** _(minor)_
  - Evidence: The provider had commissioned an independent assessment... the report had identified a number of aspects requiring improvement, including: staff supervision.
  - Published: 2023-09-13
- **staff_training** _(moderate)_
  - Evidence: The provider had commissioned an independent assessment... the report had identified a number of aspects requiring improvement, including: incident reviews, recruitment, nutrition, staff supervision, training.
  - Published: 2023-09-13
- **leadership** _(moderate)_
  - Evidence: There had been 3 managers of the service since January 2022. Governance processes had not been operated effectively prior to the new manager starting.
  - Published: 2023-09-13
- **governance** _(moderate)_
  - Evidence: Audits completed from January to March 2023 had not identified issues overall, however, the external assessment identified a range of issues.
  - Published: 2023-09-13
- **record_keeping** _(moderate)_
  - Evidence: People did not have a falls risk assessment as per the providers policy and national guidance... their care plans did not mention their re-positioning needs.
  - Published: 2023-09-13
- **medication_management** _(moderate)_
  - Evidence: Two people had thickeners for their drinks which was stored in their unlocked bedrooms, this did not reflect national patient safety guidance.
  - Published: 2023-09-13
- **medication_management** _(moderate)_
  - Evidence: Staff had administered the cream from an existing supply, which was not dated with the date of opening. Staff should only administer a medicine which has either been prescribed or authorised.
  - Published: 2023-09-13

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-09-13
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-09-13
- Finding
  - Preventing and controlling infection
  - Published: 2023-09-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-09-13
- Finding
  - Staffing and recruitment
  - Published: 2023-09-13
- Finding
  - Using medicines safely
  - Published: 2023-09-13

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-09-13
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-09-13
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2023-09-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-09-13

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-119119107

HomeCare Compass is an independent guide and is not affiliated with the CQC.