CQC report explained · a residential care home
What the CQC found at Belmont View
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Risks were assessed and care plans explained how to reduce them. Staffing levels, recruitment, infection control and medicines management were found to be safe.
- Effective?
- Good
- People received care from trained and supported staff. Their needs, nutrition, consent and contact with health professionals were managed effectively.
- Caring?
- Outstanding
- Staff built meaningful relationships with people, respected their choices and dignity, and made exceptional efforts to support their wellbeing and independence.
- Responsive?
- Outstanding
- Care was personalised and activities were adapted to people's interests, abilities and health needs. Complaints and suggestions were acted on promptly.
- Well-led?
- Outstanding
- The management team created an open and inclusive culture. Quality checks, staff involvement and new approaches were used to improve care and reduce risks.
What inspectors found, May 2019
Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
Inspectors visited on 14, 20 and 28 February 2019. They spoke with people, relatives, staff and health professionals, observed care at mealtimes and during the day, and reviewed six care records and management records.
The home supported 72 older people, including some people living with dementia, and could accommodate up to 85 people. Inspectors found people were safe, received effective care and medicines were managed safely. Staff were trained, available and understood people's needs.
Care was rated Outstanding because staff knew people very well, protected their dignity and supported their independence. Activities were highly personalised and included innovative approaches for people with dementia or physical and cognitive impairments.
Leadership was also rated Outstanding. The home had made and sustained improvements since its previous Requires Improvement rating in November 2017, including better quality monitoring and more personalised care.
Kind and personal care
Staff took time to understand each person's history, preferences and emotional needs. Inspectors saw people treated with warmth, dignity and compassion.
“All staff took time to get to know people, listening and understanding their wants, needs and wishes.” from the report
Meaningful activities
Activities were adapted for different abilities and interests. The home used themed events, sensory activities and technology to help people engage and avoid isolation.
“All staff constantly looked for new and innovative ways to engage people, both as a group and also individually.” from the report
Strong leadership
People, relatives and staff felt listened to and valued. The management team used audits, feedback and staff ideas to improve care.
“The registered manager, deputy manager and senior leadership team led by example.” from the report
Safe staffing and medicines
People and relatives said there were enough staff. Inspectors found medicines were given as prescribed, checked regularly and reviewed by health professionals.
“Where staff managed, stored and administered people's medicines this was carried out safely.” from the report
Improvements sustained
The home had addressed problems found at the previous inspection. Inspectors found that better care and monitoring had continued.
“At this inspection we found significant improvements had been made and sustained since the last inspection.” from the report
Consent records still under review
minorThe manager was reviewing arrangements for relatives who held legal authority to make decisions for people. The report does not say this caused harm or led to a breach.
“The registered manager was in the process of reviewing consent arrangement for people`s relatives who held a legal power or attorney to make those decisions on people's behalf.” from the report
- 01How are risks such as falls, pressure wounds and changes in health assessed and reviewed for my relative?
- 02How are medicines reviewed, particularly if my relative has dementia or finds tablets difficult to swallow?
- 03How will you involve my relative and our family in creating and reviewing their care plan?
- 04Which activities would be suitable for my relative's interests, abilities and health needs?
- 05Has the review of arrangements for relatives with legal power of attorney been completed, and how is this recorded?
This was a comprehensive inspection covering all five CQC questions, the premises and care provided, with observations, discussions and a review of six care records and management records. This explanation was written from the published report of 9 May 2019 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, January 2018
Belmont View was rated Requires Improvement; inspectors found mostly safe, effective and caring support, but person-centred care and management checks were not consistent.
Inspectors visited the home without warning on 28 November 2017. They spoke with people, relatives and staff, looked at six care records and checked how the home was managed.
The home was rated Good for Safe, Effective and Caring. People generally felt safe, staff were trained, medicines were mostly handled correctly, and people were treated with kindness and respect.
The home was rated Requires Improvement for Responsive and Well-led. Inspectors saw one person without suitable care, warmth or dignity, and found that managers' checks had not identified several problems. Some issues were acted on during or immediately after the inspection.
The overall rating of Requires Improvement means the home was not consistently meeting the standard expected across all areas. At the previous inspection on 3 December 2015, the service was found to be meeting the standards inspected.
People generally felt safe
People said they felt safe, and staff knew how to recognise and report abuse. Risk assessments covered areas such as falls, skin care, equipment and nutrition.
“Where potential risks to people's health, well-being or safety had been identified, these were assessed and reviewed regularly.” from the report
Trained and supported staff
Staff had training in areas including moving and handling, safeguarding, falls, communication and dementia care. Inspectors found training was up to date.
“We noted that training was up to date.” from the report
Kind and respectful care
Inspectors saw patient and sensitive interactions. Staff generally knew people well, respected their choices and protected their privacy.
“We observed sensitive and kind interactions between staff and people who used the service.” from the report
Personalised activities
The home asked about people's interests and abilities and used this information to plan activities. Inspectors saw people enjoying art and crafts and sensory sessions.
“The schedule was then colour coded to reflect people's individual strengths so they were able to participate fully.” from the report
Care was not consistently person-centred
needs fixingInspectors saw one frail person without adequate personal care, warmth or suitable covering during a hoist transfer. This affected the person's dignity and comfort.
“This did not promote the person's dignity or comfort.” from the report
Management checks missed problems
needs fixingThe home's audits and checks did not identify the issues found by inspectors, including inconsistent care, unexplained bruising and the effect of the flood on people's belongings.
“However, they had not identified the areas that required improvement that we found on inspection.” from the report
- 01What changes have been made to make sure every person receives their planned personal care, warmth and dignity throughout the day?
- 02How are unexplained bruises and skin tears now recorded, investigated and reported?
- 03What is the plan if a flood or another event means people must move rooms, and how will you protect their belongings and ensure they have suitable clothing and footwear?
- 04How do you check that people's night-time preferences, including preferences about who provides personal care, can be respected?
- 05How do your audits now identify problems with person-centred care, staffing at night and medicines records before they affect people?
This was an unannounced inspection that looked at the overall quality of the home and all five CQC questions, including care, records and management systems. This explanation was written from the published report of 12 January 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.
Every inspection of Belmont View
4 rated inspections over 4 years: the service has improved, from Requires improvement to Outstanding.
- May 2019Outstandingcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- January 2018Requires improvementdown from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2015Goodup from Requires improvementSafe: GoodEffective: GoodResponsive: GoodWell-led: Good
- September 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 6 January 2011.
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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