Background to this inspection
Updated
3 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 review good practice in care homes, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 18 and 20 January 2021 and was unannounced.
Updated
3 February 2021
Bellefield Residential Home provides accommodation, personal care and support for up to 30 older people. There were 28 people accommodated at the time of the inspection.
People’s experience of using this service
We saw there were systems in place to monitor medication so that people received their medicines safely. We found some minor recording anomalies in the medication records and improvements were needed to ensure safer monitoring for one person.
Arrangements were in place for checking the environment to ensure it was safe. We found the environment safe and well- maintained. We discussed the laundry as this was one area that needed some development work to maintain an effective work environment.
There was a positive atmosphere in the home which we found to be homeily and well- run. People living in the home interacted freely and staff were seen to be caring and supportive.
The assessment and planning of people’s care was very individualised. Care records were completed and reviewed with the person’s input.
People gave us positive feedback about living at the home. They told us they enjoyed living at the home and their quality of life was good and they were well cared for. People were listened to and had the support they needed to express their needs and wishes so they could make decisions and choices. They were treated with respect and kindness.
All the people we spoke with told us they felt safe and well- supported. One person said, “There’s always somebody around and they check on you at night.” Another person commented, “All the staff are kind and helpful.”
The home was staffed appropriately and consistently. Staff could explain each person’s care needs and how they communicated these needs. People told us that staff had the skills and approach needed to ensure they were receiving the right care.
Care was organised, so any risks were assessed, and plans put in place to maximise people’s independence whilst help ensure people’s safety.
The staff we spoke with described how they would recognise abuse and the action they would take to ensure actual or potential harm was reported.
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.
We saw people’s dietary needs were managed with reference to individual needs and choice. Meal times provided a good social occasion.
The manager could evidence a series of quality assurance processes and audits carried out internally and externally by staff and from visiting senior managers for the provider. Overall, these were effective in managing the home and were based on getting feedback from the people living there.
Rating at last inspection
The last rating for this service was good (published 30 May 2018).
Why we inspected
This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk