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CQC report explained · a residential care home

What the CQC found at Belamie Gables Care Home

Goodpublished 3 February 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and individual risks were assessed. Medicines, staffing, recruitment, fire safety and maintenance systems were judged safe.
Effective?
Good
Staff were trained and supported, and people's health, nutrition and consent needs were addressed. One professional reported occasional delays in finding staff to help with transfers, although other professionals did not share this concern.
Caring?
Good
People described staff as kind and patient. Inspectors found that people were treated with dignity and respect, and were supported to maintain important relationships.
Responsive?
Good
Care plans were personalised and reviewed regularly. Staff responded to people's changing needs and preferences, although some people said there were not always enough staff to prioritise activities.
Well-led?
Good
The acting manager and experienced senior staff were described as supportive and approachable. There was no registered manager, but quality checks and improvement work were in place.
The latest report, explained

What inspectors found, February 2018

Belamie Gables Care Home: Rated Good; inspectors found kind, safe and personalised care, with some concerns about staffing, activities and the lack of a registered manager.

This was an unannounced inspection on 4 January 2018. One inspector reviewed records for six people, observed care, spoke with people, staff, managers and professionals, and received comments from relatives.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors said the home remained Good, as it had been at the previous inspection in February 2016.

Inspectors found people were protected from harm, received their medicines safely and had enough staff to meet their assessed needs. Staff were trained, kind and respectful, and care plans reflected people's needs and preferences.

The report also notes that there was no registered manager at the time. The acting manager was beginning the registration process. Inspectors also noted a tired environment, limited space and some mixed views about staffing and activities.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe and well looked after. Safeguarding systems and risk assessments were in place.

    “I am very satisfied that my [relative] and other residents are safe within Belamie Gables and are well treated.” from the report
  • Kind and respectful care

    Inspectors found staff to be patient, kind and respectful. People were supported with dignity and care.

    “Staff are always kind and very patient with me.” from the report
  • Personalised support

    Care plans reflected individual needs, choices, communication methods and preferences. They were reviewed regularly.

    “People had personalised care plans which ensured care was tailored to meet their individual and diverse needs.” from the report
What inspectors were concerned about
  • No registered manager

    needs fixing

    There was no registered manager when inspectors visited. The acting manager had started the registration process and was supported by experienced senior staff.

    “There had been no registered manager in post since they cancelled their registration at the end of September 2017.” from the report
  • Tired environment

    minor

    Inspectors found some parts of the environment looked tired and that space was limited. Refurbishment was being planned.

    “The environment was 'tired' in places and space was limited.” from the report
  • Activities and staffing

    needs fixing

    Some professionals, a complainant and staff said staffing levels did not always allow activities to be prioritised. The manager recognised this as an area for further improvement.

    “Professionals, a complainant and some staff felt there were not always enough staff to prioritise the activities programme.” from the report
  • Occasional delays for professionals

    needs fixing

    One professional reported an occasional shortage of staff and delays when helping people transfer for private treatment. Other professionals said staff were always available when needed.

    “One professional felt there sometimes appeared to be a shortage of staff and there was, on occasion, a delay in finding a staff member to help visiting professionals to transfer people to their bedrooms for private treatment.” from the report
Questions to ask them, based on this report
  1. 01Has the acting manager completed the registration process, and who is currently responsible for the home?
  2. 02What staffing levels are normally provided during the day and at night, and how do you cover staff absence?
  3. 03What has changed to make sure activities and external outings are consistently provided?
  4. 04What refurbishment has been completed or planned to address the tired areas and limited space?
  5. 05How do staff support people who want to choose their own bedtime and daily routine?

This was an unannounced inspection covering all five CQC questions and the overall rating, with the previous ratings from February 2016 reviewed. This explanation was written from the published report of 3 February 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Belamie Gables Care Home

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. February 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Belamie Gables Care Home →

  2. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2015Inspected but not rated
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Registered with the Care Quality Commission on 3 January 2014.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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