Archived: Belvedere Care Home

Updated 10 February 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 28 January 2021 and was announced.

Updated 10 February 2021

About the service

Belvedere Care Home is a residential care home providing personal care to 20 people aged 65 and over at the time of the inspection. The service can support up to 38 people in one purpose-built building. Bedrooms comprised of 20 single bedrooms and 16 double bedrooms, all of which had en-suite facilities, spread over three floors. There was a lift to access the first and second floor. People had access to a number of communal areas, including quiet spaces and a garden.

People’s experience of using this service and what we found

The service had enlisted the assistance of independent consultants to support and direct the registered manager. Considerable improvements had been made since our last inspection. Staff were positive about the changes and improvements within the service. The registered manager demonstrated sound knowledge of their regulatory obligations. New systems and processes had been developed and new initiatives put in place to ensure positive outcomes for people.

People told us they felt safe living at Belvedere Care Home. Staff had received training in safeguarding and understood their responsibilities. The registered manager had systems and processes in place to assess and manage risk, including risk assessments and safety checks. Staff knew their responsibilities in relation to infection control and we found the service was clean. Hazardous substances were safely stored.

Medicines were mainly managed safely. We have made a recommendation about medicines management.

Robust recruitment procedures had not always been followed. We have made a recommendation about safe recruitment.

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. Staff were supported in their roles through appropriate induction, training and supervision. People were supported to eat a healthy and balanced diet. The introduction of a ‘hydration station’ was well received. Appropriate and timely referrals were made to external health professionals as and when required.

People told us staff were kind and caring. Staff interacted with people in a kind, sensitive and caring manner and people appeared comfortable in staff presence. Staff had completed equality and diversity training, ensuring people’s rights were protected. People were involved in decisions about their care and were at the centre of the planning process. Staff respected people’s right to privacy and dignity.

The service was responsive to people’s needs and preferences. Care plans holistically reflected people’s needs in a personalised way and were very detailed. The registered manager ensured these were reviewed and updated when people’s needs changed. People’s end of life wishes, and needs had been considered. Staff supported people to engage in activities to avoid social isolation.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 29 May 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 13 December 2018. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

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.