Belleview

Updated 6 June 2020

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

This inspection was carried out by one inspector.

Service and service type

This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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 we needed to be sure that the provider or registered manager would be in the office to support the inspection and we also needed to seek people’s consent to visit them in their homes.

Inspection activity started on 12 February 2020 and ended on 14 February 2020. We visited the office location on 14 February 2020.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We looked at the information we held about the service. This included previous inspection reports and statutory notifications. Statutory notifications contain information the provider is required by law to send to us about significant events that take place within the service, including deaths and serious incidents. We used all of this information to plan our inspection.

During the inspection

We visited and spoke with five people who used the service. We also spoke with four members of staff and the registered manager. We looked at three people’s care plans, three staff files and other records relevant to the service such as medicines records, staff rotas and training and supervision records.

Updated 6 June 2020

About the service

Belleview is a supported living service providing personal and nursing care to 19 people with learning disabilities or mental health support needs at the time of the inspection. The service consists of a main building with individual bedrooms and communal facilities, in addition to two self-contained bungalows on the same site. Staff facilities including the supported living office are contained within the main building.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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.

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

The provider had made improvements since the last inspection, where we found medicines were not always managed safely. At this inspection we found people received their medicines as prescribed. Accurate and up to date records were kept to help ensure this. However, one person had some tablets that had passed their expiry date. The registered manager agreed to put checks in place to avoid this happening in future.

Other aspects of the service remained safe. Risks were managed appropriately, including safeguarding people from abuse. Systems were in place to record and learn lessons from accidents and incidents. There were enough suitable staff to care for people safely. Staff followed appropriate guidance to prevent the spread of infection.

People’s needs were assessed in line with current research and guidance. Staff gave people the support they needed to eat and drink enough and to meet their healthcare needs, working with other professionals when required. Staff received appropriate support to do their jobs well. 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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. 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.

People received support from staff who were kind, respectful and empathetic. People were involved in decisions about their care and were enabled to express their views about the care they received. Staff promoted people’s privacy and dignity.

People received care that was personalised, met their care needs and took into account their preferences and equality characteristics such as culture and religion. Staff regularly supported people to review their care plans to make sure they remained up to date. People received the information they needed about their care and support. There were opportunities for people to engage in meaningful activities both inside and outside the service. The provider supported people to make plans for end of life care in case they should require this while using the service. The provider responded appropriately to people’s concerns and complaints.

The service had consistent leadership and a person-centred culture. People felt their voices mattered and they were consulted as part of quality assurance. People and staff felt the registered manager was approachable, open and honest. Staff worked well as a team and the provider used a range of checks and audits to monitor service quality and continually improve 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

The last rating for this service was good (published 21 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.