Belvedere House

Updated 14 June 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by two inspectors, one specialist nurse adviser and one 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.

Service and service type:

Belvedere House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We carried out this inspection unannounced on 15 April 2019.

What we did:

We reviewed the information we held about the service. This included notifications and feedback from the local authority. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in their Provider Information Return (PIR). This is 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.

During the inspection, we spoke with 12 people, three relatives, two volunteers and 11 staff. We reviewed care records and policies and procedures. We reviewed seven people’s care records, and three staff files around staff recruitment, training and supervision. Records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were also reviewed.

Updated 14 June 2019

About the service:

Belvedere House is a nursing home that is registered to provide accommodation and personal care for up to 68 people. At the time of our inspection there were 63 people living at the service, a number of whom were living with dementia.

People’s experience of using this service:

People were cared for at a service which focused on their lives at sea. People had access to a home that was large, open, spacious and nautically orientated. One relative told us, “The level of care is very thorough and highly professional. I have appreciated the warm welcome my mother has received.”

People’s rights were not always protected as staff and the registered manager had not ensured full compliance with the Mental Capacity Act 2005. People were looked after by caring and attentive staff. Complaints and concerns were recorded, responded to and used to consider improvements in the service.

People’s needs, choices and preferences were recorded in person centred care plans. The food at the service was enjoyed by people as they were able to choose what they ate from a menu with variety. The care records enabled staff to correctly provide care and support for people in a safe way.

People’s end of life care was considered and detailed to ensure that they would be comfortable remaining at the service. There were a range of activities for people to take part in each day which involved the staff and anyone who wanted to join in.

Staff were led by a pro-active and friendly registered manager who consistently considered how to improve the service. The registered manager had an open-door approach for people, staff and relatives.

Rating at last inspection:

At our last inspection in July 2016 the home was rated ‘Good’.

Why we inspected:

This was a planned inspection based on the previous rating.