The inspection visits took place on 24 and 30 October 2017. The first day was an unannounced visit and the second day was announced to enable us to speak with support workers and the registered manager. 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 was transferred in its entirety to the current registered provider in December 2016. The last inspection of the service prior to the transfer was in June 2016 and we rated it as good. The current registered manager and support workers were in place at the time of that inspection.

Beeton Grange is a service that provides accommodation and personal support for up to 24 adults with complex mental health needs. The service exclusively supports people from an Asian or African-Caribbean heritage. At the time of our inspection 20 people were using the service. The service’s main aim is to assist people to develop or relearn the life skills to enable them to live independently in the community.

We found

People felt secure and safe with their support workers and received information to help them remain safe from the risk of abuse.

People were also protected because risk assessments had been completed to identify and reduce the risk of harm for all the people who lived at the service.

People were able to have their needs met on most occasions because sufficient support workers were available throughout the week.

People were assisted by experienced support workers who had developed in depth and personal knowledge of their needs likes and dislikes.

The provider had recruitment processes for the safe employment of support workers and processes which ensured they received the necessary induction and training to meet the support needs of people living at the service.

People were supported and received their medicines as prescribed by their healthcare professionals.

Peoples' consent was obtained before providing support and the provider understood and applied the legal requirements of the Mental Capacity Act 2005.

People were supported to make choices, take responsibility for their own daily activities and encouraged to try new activities and learning opportunities.

People were provided with, or assisted to prepare, culturally appropriate food and drink at times to suit them.

People's mental health and physical health needs were assessed and people were supported to access their local health care professionals when required.

People told us they were supported by caring and respectful staff who maintained their privacy and dignity.

People’s support needs were clearly recorded in support plans which were regularly reviewed.

People knew how to complain about the service they received and were supported to make complaints and discuss issues of concern.

The provider had systems to assess and monitor the quality of the service and was introducing new policies and documentation to improve consistency at the service and meet people’s needs.