Background to this inspection
Updated
26 February 2020
The inspection
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
Belvidere Park 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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
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 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.
During the inspection
We spoke with the registered manager, a representative of the provider and two support staff. We also spoke with a person who used the service. Due to their health conditions, two people were unable to verbally communicate with us and so we made observations of care and support throughout the day.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three 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 spoke with two relatives of people who use the service to help us gain a better understanding of people’s experiences of their care and support.
Updated
26 February 2020
About the service
Belvidere Park is residential care home providing personal care to three people at the time of our inspection.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was a period domestic style property. It was registered for the support of up to four people. The building design fitting into the residential area and the other domestic homes. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People's experience of using this service and what we found
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good for the safe, effective, caring and well-led domains. There has been a change of rating to Outstanding for the responsive domain.
The culture and ethos of the service valued the uniqueness of every individual and promoted the provision of care and support as individual as the person receiving it. People using the service benefitted from tailor made care which was unique to them, improved their lives and had a positive impact on their well-being. The service responded and adapted to meet people's change in care and support needs in a timely way.
The registered manager was passionate about empowering people to have a say in the care and support they wanted and to live a life of their choosing. This vision was widely shared by staff.
The service took the time to get to know about what was important to people. This information was used to determine people’s aspirations for the future and to empower people to live a more independent life. Staff supported people to maintain relationships with people who were important to them.
Belvidere Park had a relaxed and informal environment. People told us they thought of Belvidere Park as their own home. There was a 'family feel' to the service. There were no set routines at the home and people’s preferences and choices dictated how the day went.
People received care and support from staff who were caring, compassionate and familiar to them. Staff provided care and support with consideration to people's needs and preferences. It was evident staff had formed genuine relationships with the people they supported.
People were supported in such a way that allowed them 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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Feedback about the management of the service from people, their relatives and staff was positive.
Staff were well supported in their role with appropriate training and supervision. Staff had also received additional training to meet the specific needs of the people they were caring for.
Checks and audits were in place to determine the quality and safety of the care and support being provided. Risk to people was appropriately assessed and measures were put in place to support people safely, whilst still respecting their freedom.
The registered manager and registered provider had met their legal requirements with the Care Quality Commission (CQC). They promoted person centred care and transparency within the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At our last inspection, the service was rated "Good." (Report published June 2017).
Why we inspected
This was a planned inspection based on the rating of the last inspection.
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.