Bell House Care Home Limited

Updated 24 May 2022

The inspection

This was a targeted inspection to check whether the provider had met the requirements in relation to Regulation 12 Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Inspection team

This inspection was carried out by a pharmacist specialist.

Service and service type

Bell House Care Home Limited is a 'care home'. People in care homes receive accommodation and nursing or personal care as a 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used all of this information to plan our inspection.

During the inspection

We spoke with senior members of staff. We looked at the governance arrangements for the safe handling of medicines including the providers policy and audits. We looked at medicine’s records for six people.

Updated 24 May 2022

About the service

Bell House Care Home Limited is a care home providing personal care to 14 people aged 65 and over at the time of the inspection. The service can support up to 25 people.

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

Overall improvements were seen at this inspection. We found some areas where further improvements were needed.

Staff were not always wearing face masks correctly. The premises were clean and tidy.

Repositioning checks were not fully documented, although people’s skin integrity was not a concern at this inspection. We have made a recommendation around the provider adding repositioning checks to ensure their records are fully completed.

Improvements were still needed to the living environment. The provider had a rolling programme of refurbishment due to start in January 2022.

Risks to people had been identified and acted on. Improvements had been made in managing risks to people, the safe management of medicines, staffing levels and systems of oversight.

People and relatives agreed the home provided a safe environment where people were protected from harm. Safeguarding records supported this.

The manager responded to all types of feedback and where improvements were needed, they took action in response.

A regular system of audits was used to identify actions which we could see were followed up. We saw oversight from the nominated individual.

There was a positive culture in the home. Meetings for people and staff were taking place. Satisfaction surveys had been sent out and acted on by the manager.

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 19 June 2021) and there were multiple breaches 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 regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 17 February 2021. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions 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 changed from inadequate to requires improvement. This is based on the findings at this inspection.

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

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.

This service has been in Special Measures since 19 June 2021. 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.

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.