Background to this inspection
Updated
9 May 2019
The inspection;
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by two inspectors and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. This expert-by-experience’s area was dementia care.
Service and service type:
Belmont View is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Notice of inspection;
The inspection site visit took place on 14 February 2018. The provider sent us further information on 20 February 2019, and we spoke with people's relatives on 28 February 2018.
What we did:
Prior to this inspection we reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We reviewed the findings from the local authority’s recent assessment of the care provided. We also assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection visit we spoke with 13 people, 10 relatives, five staff members, two health professionals, the deputy manager, the registered manager and a representative of the provider. We looked at the care records for six people and records relating to the management of the service.
Not everyone living at Belmont View was able to describe to us their experience of the care provided. We therefore spent time in communal areas observing the care and interactions between people and staff at both mealtimes and throughout the day. This helped us to understand people’s experience of care.
Updated
9 May 2019
About the service:
Belmont View provides residential care for older people some of who are living with dementia. The home is registered to accommodate up to 85 people. The accommodation is arranged into separate units across the two floors of the home. At the time of the inspection there were 72 people living at the service.
People’s experience of using this service:
¿ Previous improvements identified had been put in place. The registered manager was able to demonstrate where these improvements were made immediately following the inspection. This meant people had consistently experienced a better quality of care that was safely and innovatively delivered.
¿ The providers ethos and values were delivered to people, relatives and staff. These values ensured everyone associated with Belmont View was treated as an individual, with dignity and provided opportunities to be independent and build resilience around their well-being.
¿ All staff went out of their way to respect people as individuals and provided exceptionally compassionate care to all. Staff had developed meaningful caring relationships with people and were committed to ensuring people lived fulfilling lives and were protected from social isolation.
¿ People were treated in a dignified way and staff took time to get to know what was important to them. People received care that was individually planned, promoting people's independence as well as their well-being. Staff were empowered to develop creative activities for all people regardless of their health needs. Care provided to people when they were coming to the end of their life was very caring and supportive. All staff spoke about people in a passionate and enthusiastic manner. It was clear that people living in Belmont View were central to the care provided, and that staff would go the extra mile to ensure they were well cared for.
¿ The registered manager, deputy manager and senior leadership team led by example. People, staff, relatives and health professionals felt their views were important to the leadership team and that their opinions were listened to. All staff were valued by the registered manager which encouraged staff look at partnership working that improved the quality of care people received. Leadership values were inclusive and set high professional standards for staff to adhere to. Staff spoken with were long standing and spoke with pride about working for Quantum Care, feeling valued by the processes in place to support them.
¿ Risk to people’s care was being managed well and was proactive in identifying risks to people’s health and well-being. People told us they were safe and staff were able to describe how they kept people safe and reported any concerns they had. There were appropriate numbers of staff that ensured people received care when they needed in a clean and well-maintained environment.
¿ People’s medicines were managed safely and given to people when they needed them.
¿ People received care from staff that were well trained and supported in their role and able to develop their skills further. Consent was sought from people prior to delivering care and legal requirements relating to consent were met. Care records were detailed and demonstrated clearly that people were involved in how they wanted their care to be provided.
Rating at last inspection:
¿ At the last inspection on 27 November 2017, the service was rated requires improvement (the report was published on the 12 January 2018).
Why we inspected:
¿ This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received. Where services have been rated as requires improvement we follow up the rating with an inspection within one year.
Follow up:
¿ We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.