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CQC report explained · a nursing home

What the CQC found at Belvidere Court Nursing Home

Goodpublished 19 March 2019, 7 years ago

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

The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found good infection control measures, but some communal bathrooms and toilets needed minor repairs.

This was an announced, targeted inspection on 1 March 2021. It looked at how well the home was preventing and controlling infections during the coronavirus pandemic.

Inspectors found good practice in visitor screening, testing, personal protective equipment, social distancing, cleaning and staff working in specific areas. People were also supported to keep in touch with family and friends.

The home was rated inspected but not rated. Inspectors were assured about most infection control arrangements, but were only somewhat assured about the layout and hygiene of the premises because some communal bathrooms and toilet areas needed minor repairs.

What inspectors praised
  • Visitor safety checks

    Visitors were screened for symptoms and required to complete a lateral flow test before visiting.

    “Visitors were screened for symptoms of Covid-19 and will be required to complete a lateral flow test on their arrival” from the report
  • Keeping families connected

    People were supported to stay in contact with relatives and friends through several methods, including social media, telephone calls and window visits.

    “People had been supported to maintain contact with their relatives and friends through social media, telephone calls and window visits.” from the report
  • Protective equipment

    Inspectors found that staff wore personal protective equipment correctly and that staff worked in specific areas to reduce cross infection.

    “Staff worked in specific areas of the home which reduced the risk of cross infection. Staff wore their PPE correctly.” from the report
  • Cleaning arrangements

    Cleaning schedules and cleaning of frequently touched points had been increased.

    “Cleaning schedules and touch point cleaning had been increased to monitor cleanliness of the environment.” from the report
What inspectors were concerned about
  • Bathroom and toilet repairs

    needs fixing

    Some communal bathrooms and toilet areas needed minor repairs so they were properly sealed and watertight. This reduced the inspectors' assurance about the premises' layout and hygiene.

    “Some of the communal bathrooms and toilet areas required minor repairs to be completed to ensure the areas were effectively sealed and watertight.” from the report
Questions to ask them, based on this report
  1. 01Have all the minor repairs to communal bathrooms and toilet areas been completed, and how do you check they remain sealed and watertight?
  2. 02How are visitors screened for symptoms and tested before visiting?
  3. 03How do you make sure staff use personal protective equipment correctly and access testing?
  4. 04How are people supported to keep in contact with relatives and friends?
  5. 05How often are cleaning schedules and frequently touched areas reviewed?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic, so it did not provide ratings for the other four key questions or a full overall assessment of the home. This explanation was written from the published report of 16 March 2021 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.

An earlier report, explained

What inspectors found, March 2019

Rated Good; inspectors found safe, kind and person-centred care across all five areas.

This was an unannounced, planned inspection after the home was rated Requires Improvement in 2017. Two inspectors and a nurse specialist adviser visited on 27 February 2019.

They spoke with people living at the home, relatives, staff and managers. They reviewed care and medicine records, staff recruitment and training records, and the home's checks on quality and safety.

The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough skilled staff, safe medicines practice, kind care, personalised records, activities and good systems for managing quality.

The earlier problems with sending required notifications to CQC had been put right. The report says the home met the characteristics of Good in all areas at this inspection.

What inspectors praised
  • Enough staff

    Inspectors found enough staff to respond to people's needs. Staff had time to spend with people and did not appear rushed.

    “We saw there were enough staff to respond when people needed them.” from the report
  • Safe medicines

    Medicines were stored, given and disposed of safely. Staff received medicines training and regular checks of their competence.

    “Medicines were stored, administered and disposed of safely.” from the report
  • Kind and respectful care

    Staff treated people with kindness, respected their dignity and supported their choices. People were also helped to maintain important relationships.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised support

    Care records included people's wishes, choices, life histories and cultural needs. Staff also used different ways to communicate with people who could not speak their views.

    “Care records were personalised and detailed people's wishes, choices, life histories and specific cultural requirements.” from the report
  • Improving leadership

    The management team used audits, action plans, training and competency checks to monitor and improve care. They had also corrected the notification problem found at the previous inspection.

    “Systems and processes were in place to assess, monitor and improve the quality and safety of the care provided to people.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and support my relative's specific nursing, dementia or mental health needs?
  2. 02How do you make sure medicines prescribed as needed are given at the right time and recorded correctly?
  3. 03What activities would be suitable for my relative, and how would you adapt them to their interests and abilities?
  4. 04How are families involved in care reviews and decisions about end of life wishes?
  5. 05What redecoration work is still under way, and how could it affect residents?

This was a planned, unannounced inspection covering all five CQC questions, including the care provided and the premises. This explanation was written from the published report of 19 March 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.

The story over the years

Every inspection of Belvidere Court Nursing Home

2 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Belvidere Court Nursing Home →

  2. March 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Belvidere Court Nursing Home →

  3. April 2017Requires improvement
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2016

    Registered with the Care Quality Commission on 31 March 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.

Next steps

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