Background to this inspection
Updated
16 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector, a specialist nurse advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Belmont View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of inspection, the registered manager was unavailable.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and seven relatives about their experience of the care provided. We spoke with 13 members of staff. This included the provider, director of care, training coordinator, deputy managers, senior care workers, care workers, an activities coordinator, cook and housekeeper. We also spoke to a visiting health professional and Vicar.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at further records in support of the services quality monitoring.
Updated
16 January 2020
About the service
Belmont View is a residential care home that provides personal care for up to 50 people over two floors. Some people are living with dementia. At the time of the inspection 47 people were living at the service.
People’s experience of using this service and what we found
People and their relatives told us they were happy with the care and support they received from staff. The atmosphere in the home was cheerful and homely. One person said, “It’s just like being at home.”
People told us they felt safe whilst being supported by staff. Relatives were confident family members were well cared for. There was a proactive approach to assessing and managing risk which allowed people to remain as independent as possible.
People received person-centred care which was delivered through the assessment and planning of their individual and specific needs. Overall, care plans were detailed, informative and identified the specific care that people required. There was a wide range of activities provided each day.
Staff were skilled and spoke with passion about the care and support people received. Staff supported people in a flexible way and in line with each person's needs and wishes. The staff team was consistent with some staff working at the service for many years. Staff worked with family members and a range of professionals to ensure people were provided with the care and support they required.
Medicines systems were organised, and people received their medicines when they should. Overall, the provider was following national guidance for the receipt, storage, administration and disposal of medicines.
People were involved in decisions about the care they received. People had maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The management team were open and approachable which allowed people to share their views and raise concerns. People told us if they were worried about anything they would be comfortable to talk with staff or the management team.
The director of care and provider monitored the quality of the service. They sought people's views and had plans in place for continued development of the home and the care people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 24 October 2018).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.