CQC report explained · a residential care home
What the CQC found at Belgrave Court Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2023
Requires Improvement overall; inspectors found good progress in safe care and management, but this was only a focused inspection.
Inspectors visited the home without warning on 22 March 2023. They spoke with three residents, two relatives, the provider and four staff. They also looked at the home, care records, medicines records, recruitment files and management records.
The safe and well-led areas were both rated Good. Inspectors found enough staff, safer medicines practice, suitable risk assessments, clean surroundings and effective infection control. They also found that people felt safe and received care based on their needs and wishes.
The home had previously been rated Requires Improvement and was in breach of Regulation 17. Inspectors found that improvements had been made and the home was no longer in breach. The overall rating stayed Requires Improvement because this inspection only covered Safe and Well-led, while the other ratings carried over from the previous inspection.
People felt safe
Residents told inspectors they felt safe and received care that reflected their needs and wishes.
“People told us they felt safe living at Belgrave Court Residential Care Home and received care in line with their needs and wishes.” from the report
Enough staff
Inspectors found enough staff to support residents promptly. Recruitment checks had also improved.
“There was enough staff to meet people's needs in a timely way.” from the report
Medicines managed safely
Medicines were given by trained staff, and records were regularly checked. Medication rounds had improved.
“People received their medicines as prescribed, and by trained staff.” from the report
Improved management
The provider and management team had strengthened audits and oversight. The previous governance breach had been resolved.
“There was good oversight of the governance systems in place.” from the report
Welcoming atmosphere
Residents, relatives and staff described a friendly and positive atmosphere. Inspectors found that staff involved people in decisions about their care and the home.
“The provider, registered manager and staff had worked hard to create a relaxed and welcoming atmosphere within the service, which supported good outcomes for people.” from the report
Inspectors raised no specific concerns in this report.
- 01What were the ratings and findings for Effective, Caring and Responsive at the previous inspection?
- 02How are you checking that the improvements to governance and records are being maintained?
- 03How do you make sure medicines are given according to each person's specific instructions?
- 04How do you assess staffing levels when residents' needs change?
- 05How are residents and relatives involved in reviewing care and deciding on improvements?
This was a focused follow-up inspection of Safe and Well-led, with infection prevention and control also checked under Safe; the other ratings carried over from the previous inspection. This explanation was written from the published report of 6 April 2023 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.
What inspectors found, December 2022
Rated Requires Improvement; Belgrave Court Residential Care Home had improved safety and staffing, but management checks and records were still not reliable enough.
This was an unannounced focused inspection on 24 and 29 November 2022. Inspectors spoke with people, relatives and staff, looked around the home, and checked care, medicines, recruitment and management records.
The home had improved since its previous inspection, which was rated Inadequate. Medicines management, recruitment, staffing levels and checks on accidents had improved. People said they felt safe, and staff understood how to respond to abuse.
However, some medicines instructions were not always followed. Some care plans and risk assessments were inaccurate or out of date. Management systems had not yet reliably found these problems, so the home remained in breach of Regulation 17 on good governance.
The overall rating changed from Inadequate to Requires Improvement. The home is no longer in Special Measures, but CQC will request an action plan and continue to monitor progress.
Improved medicines systems
The home had improved its medicines systems and was no longer in breach of the safe care and treatment regulation.
“Systems and practices for the management of medicines had improved.” from the report
Enough staff
Inspectors found enough staff on duty to meet people's needs. Night staff had also been trained and checked as competent to give medicines if needed.
“There were sufficient staff on duty to meet people's needs.” from the report
People felt safe
People told inspectors they felt safe, and staff understood how to protect people from harm or abuse.
“Staff had a good understanding of how to make sure people were protected from harm or abuse.” from the report
Positive atmosphere
People were described as happy with their care and were involved in activities they enjoyed. Staff said communication, organisation and morale had improved.
“There was a positive atmosphere in the home when we visited.” from the report
Management checks were not reliable
seriousThe provider's monitoring systems had not found all the problems identified by inspectors. The provider remained in breach of Regulation 17.
“Not enough improvement had been made and the provider continued to be in breach of regulation 17.” from the report
Care records were inaccurate
needs fixingSome care plans and risk assessments did not accurately reflect people's needs. This could make it harder for staff to rely on the records.
“Some peoples care plans and risk assessments were inaccurate and did not always reflect people's needs.” from the report
Some medicines instructions were not followed
needs fixingMedicines management had improved, but more work was needed to ensure all prescribers' instructions were followed.
“Further work was required to ensure all prescribers instructions were followed.” from the report
Recruitment records were incomplete
minorRecruitment procedures were more robust, but some records were not completed sufficiently or in line with the home's own policy.
“Records were not always completed in line with the providers own policy.” from the report
- 01What has been done to make sure care plans and risk assessments are now accurate and kept up to date?
- 02How do you check that all prescribers' instructions are followed for every person's medicines?
- 03What changes have been made to the quality monitoring system since the inspection, and how do you know they are working?
- 04Are all recruitment records now complete in line with your own policy?
- 05What progress has been made on the action plan requested by CQC?
This was a focused inspection of Safe and Well-led only; the other key-question ratings were not assessed in this report and the overall rating used the previous inspection ratings. This explanation was written from the published report of 22 December 2022 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.
Every inspection of Belgrave Court Residential Care Home
8 rated inspections over 6 years: the service has slipped, from Good to Requires improvement.
- April 2023Requires improvementcurrent ratingstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Good
Read what inspectors found at Belgrave Court Residential Care Home →
- December 2022Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
Read what inspectors found at Belgrave Court Residential Care Home →
- October 2022Inadequatestayed InadequateSafe: InadequateWell-led: Inadequate
- March 2022Inadequatedown from Requires improvementSafe: InadequateWell-led: Inadequate
- May 2021Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
- November 2020Inadequatedown from Requires improvementSafe: InadequateWell-led: Inadequate
- November 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementWell-led: Inadequate
- March 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016
Registered with the Care Quality Commission on 6 May 2016.
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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16 live-in carers within about an hour of East Riding of Yorkshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.