CQC report explained · a residential care home
What the CQC found at Belvedere
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe. Inspectors found that safeguarding, risk assessments, staffing, recruitment, medicines and infection control were managed safely.
- Effective?
- Good
- People had access to healthcare and support that reflected their needs and choices. Staff had training and supervision, but regular specialist mental health training was not yet in place.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions and encouraged to build independence.
- Responsive?
- Good
- Support plans were personalised and reviewed regularly. People were supported with communication, activities, complaints and changes in their mental health.
- Well-led?
- Good
- Inspectors found approachable leadership, clear responsibilities and systems to check and improve the quality and safety of care.
What inspectors found, February 2019
Rated Good; inspectors found safe, caring and personalised support, with specialist mental health training still being reviewed.
This was an unannounced, planned comprehensive inspection on 10 December 2018. One inspector and an expert-by-experience spoke with three people, three staff members and managers. They also reviewed two care records, medicines records, staff records and quality checks.
The home supported four young adults with severe and enduring mental health conditions. People said they felt safe and were happy. Inspectors found that risks and medicines were managed safely, staffing levels were sufficient, and staff understood people's needs.
Care was personalised. People were supported with healthcare, meals, activities, independence and making choices. The home was clean and well maintained, and people and relatives could raise concerns.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 19 July 2016.
People felt safe
People told inspectors they felt safe and supported. Staff understood safeguarding and people's individual risks.
“People told us they felt safe living at Belvedere.” from the report
Safe medicines support
Medicines were stored, administered and recorded safely. Staff were trained and their competence was checked regularly.
“People continued to receive their medicines safely.” from the report
Personalised support
Care records described people's preferences, needs, medical history and early signs of becoming unwell. Staff used this information to provide individual support.
“Support plans were informative and provided staff with detailed information on people's likes, dislikes, personal preferences, care needs and medical history.” from the report
Choice and independence
People were involved in meals, daily routines, household tasks and activities. Staff supported them to make choices and develop daily living skills.
“People had control over their lives and enjoyed varying levels of independence.” from the report
Open management
Inspectors found clear leadership and systems for checking the service. Staff, relatives and healthcare professionals were positive about the management.
“Quality assurance and governance systems were in place to assess, monitor, and improve the quality and safety of the services provided.” from the report
Specialist mental health training
needs fixingRecords showed that staff were not receiving regular specialist mental health training for the complex needs of people living at the home. The provider said this was being reviewed, and inspectors did not find that care had been affected.
“However, records showed that staff were not receiving regular specialist mental health training to support the complex needs of people living at the home.” from the report
- 01What specialist mental health training have staff received, and what training is now planned?
- 02How would staff recognise that my relative's mental health was getting worse, and what action would they take?
- 03How will my relative be involved in choosing meals, activities and daily routines?
- 04How are medicines checked, including occasional medicines and any refused doses?
- 05How often will my relative's care and risk plans be reviewed, and how will family members be involved?
This was an unannounced comprehensive inspection covering the care home, its premises and care, with all five CQC areas assessed. This explanation was written from the published report of 5 February 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.
Every inspection of Belvedere
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
17 live-in carers within about an hour of Devon
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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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.