Belvoir Vale Care Home

Updated 23 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors 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

Belvoir Vale Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Belvoir Vale Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority who commission care with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We visited the service on 17 October 2023 and 25 October 2023. We spoke with 9 staff members including the registered manager, home manager, deputy manager, senior care staff, care staff and kitchen staff. We spoke with 6 people who used the service and 7 people's relatives. We spoke with 2 professionals about their experience of the care provided. Not everyone living at the service was able to or wanted to speak with us, therefore we spent time observing interactions between staff and people. We reviewed a range of records. This included 4 people’s care records and multiple medicine records. We looked at 5 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including incident and maintenance records were reviewed.

Updated 23 December 2023

About the service

Belvoir Vale Care Home is a residential care home providing personal care to up to 62 people. The service provides support to older adults some of whom were living with dementia. At the time of our inspection there were 52 people using the service.

People’s experience of the service and what we found:

People were protected from the risk of abuse and neglect. Risk assessments relating to health conditions were detailed and clearly directed staff what action they should take in order to support people safely. Staff were recruited safely and there were enough staff deployed to meet people’s needs. Medicines were managed safely. The home was exceptionally clean, and people were protected from the risk of infections. Lessons were learnt when thing went wrong.

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.

People and their relatives told us; they were exceptionally happy with the care provided and described staff as ‘Angels’. Staff sought information about each person's individuality, skills, cultures, and lifestyle choices which allowed staff to celebrate and focus on areas which were important to people. Staff encouraged, empowered, and supported people to share their views. People were always treated with the highest level of respect and with their dignity preserved.

Personalised care was at the heart of the service. Activities were truly person centred. Staff supported people to socialise, and take part in activities which were significant to them. People’s concerns and complaints were exceptionally well listened to, responded to, and used to improve the quality of care. People were exceptionally well supported at the end of their life to have a comfortable, dignified and pain free death. People’s communication needs were well understood and supported.

People were undoubtedly at the heart of everything at Belvoir Vale. People, relatives, staff. and professionals told us the management team and the environment they had created was exceptionally supportive. The registered manager was passionate, motivated, and determined to achieve the best possible outcomes for people. People and staff were fully engaged in the running of the service. Feedback from both people and staff was excellent. The provider worked exceptionally well in partnership with others.

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 4 April 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe, caring, responsive and well-led only. For the key question not inspected, we used the rating awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Belvoir Vale Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.