Belgrave Court Residential Care Home

Updated 6 April 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 Care Act 2014.

Inspection team

The inspection was completed by 2 inspectors.

Service and service type

Belgrave Court Residential 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. Belgrave Court 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

The inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who were living at the home, and 2 people's visiting relatives about their experience of the care provided. We spoke with the registered provider and 4 members of staff including the registered manager, care, and administration staff.

We looked around the environment to review the facilities available for people and the cleanliness of the home.

We reviewed a range of records. This included 4 people's care records in part, and 6 peoples medication records. We looked at 3 staff files in relation to recruitment, and a variety of records relating to the management of the service.

Updated 6 April 2023

About the service

Belgrave Court Residential Care Home is a residential care home providing accommodation and personal care to up to 30 people, some of whom may be living with dementia. At the time of our inspection there were 20 people living at the home.

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

People told us they felt safe living at Belgrave Court Residential Care Home and received care in line with their needs and wishes. One person told us, "I didn't believe I could get such wonderful care and treatment."

The provider, management team and staff had worked hard to make improvements in the home, and to improve people’s outcomes. People, their relatives and staff told us the home was well managed and there was a positive atmosphere. One persons relative told us, "They are very friendly carers here, we see it all the time. It's first class care and informal."

Governance and oversight systems had been embedded, sustained and were fully effective in ensuring appropriate standards of quality and safety were maintained at the home.

Staff had received training in safeguarding and knew how to identify and report concerns. Any safeguarding issues had been reported in line with guidance.

Systems and processes to mitigate risks to people’s safety and wellbeing had been improved to ensure staff had sufficient information to support people in line with their needs, risks and preferences. Accidents and incidents were documented, investigated and reviewed to identify any patterns and trends, with lessons learned considered to help reduce future risks.

There were enough well-trained staff available to meet peoples care and support needs. Medicines were managed safely by trained staff.

The home was clean, with effective cleaning and infection control processes in place.

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.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 December 2022) and there was a breach of regulation. 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 regulation.

Why we inspected

This focused inspection was carried out to follow up on action we told the provider to take at the last inspection. This report only covers our findings in relation to the key questions of safe and well led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained requires improvement based on the findings of this inspection. Please see the safe and well led sections of this full report.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last inspection, by selecting the 'all reports' link for Belgrave Court Residential 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.