The Care Quality Commission

Archived: Bellevue

76 Bushey Hall Road, Bushey, Watford, Hertfordshire, WD23 2EQ (01923) 490570

Provided and run by:
Protea Care Homes Limited

All Inspections

23 May 2013

During an inspection looking at part of the service

On our previous inspection carried out on 24 April 2013 and 3 May 2013, the provider was found to be non-compliant with regulation 13, 20 and 22.

On our follow-up inspection the provider was found to be compliant be with the above regulations.

24 April and 3 May 2013

During an inspection looking at part of the service

On our previous inspection on the 28 March and 2 April 2013, we found the provider not to be compliant with outcomes 9 and 21. The provider was served with Warning Notices for these outcomes and was told that they needed to be compliant with these outcomes by 26 April 2013. On the 24 April 2013 we were told by the management team of the home that they were now compliant. As a result of this information an inspection was carried out on 24 April 2013. Following concerns a further inspection was conducted on the 3 May 2013.

28 March and 2 April 2013

During a routine inspection

At our previous inspections on 26 June 2012 and 03 July 2012, we found the home not to be compliant with outcome 04, 14 and 21. On a follow up inspection on 8 November 2012 we found that the provider was still not meeting the standards we had inspected on 26 June 2012 and 03 July 2012, as well as outcome 10. During a further follow up inspection on 28 March 2013 and 2 April 2013, we found that the provider was not complaint in outcome 9 and 21.

We did not speak to people who used the service as we focused on the outcomes that were non compliant.

8 November 2012

During an inspection looking at part of the service

At our previous inspection on 26 June 2012 and 03 July 2012, we found the home not to be compliant with outcome 04, 14 and 21. During our follow up inspection on 8 November 2012 we found that the provider was still not meeting the standards we had inspected on 26 June 2012 and 03 July 2012, as well as outcome 10.

We found that care folders were not organised in a way which ensured that staff could easily access current information about people. This could have resulted in staff reading and acting on out of date information. Risk assessments had not always been carried out and did not provide staff with details of how to minimise the risk to people. The home had not been adequately maintained and appropriate records had not been kept.

3 July 2012

During a routine inspection

We used a number of different methods to help us understand the experiences of people using the service, because the people using the service had complex needs. This meant that not all of them were able to tell us their experiences; one person we spoke with at the home was able to express themselves to us verbally whilst other people communicated verbally but to a limited extent. On our two visits to the home on 26 June and 3 July 2012 people who use the service were out for most of the time so we also spoke with three relatives and a professional advocate. We also observed interactions between people living there and staff.

People's feedback was mixed but a recurring theme was lack of communication between staff at the home, relatives and other agencies. One relative said that they had no problems with communication but that was because they saw their relative every day and could communicate fully with them.

One person told us, 'There is always someone there to talk to'. A relative told us she thought the home was, 'Absolutely 100%' and they had 'no problems, no qualms, no issues, nothing'. However two other relatives and the advocate were less satisfied and all spoke of poor communication from staff at the home.

5, 6 January 2012

During an inspection looking at part of the service

The people who we spoke with when we visited the home on 05 January 2012 said that the staff supported them as they wished with their personal care and healthcare needs.

One person who had lived in the home for several years told us that things have changed in the home recently, but they were happy with the changes. They said that they liked the new people who had moved into the home, and they enjoyed speaking with them.

We observed the staff chatting with people in the home to ensure that they were able to make choices about their activities.

During an inspection in response to concerns

We did not speak with people who live at Bellevue for this review. The local authority carried out assessments which concluded that the people concerned did not have capacity to understand or take decisions about their finances. Therefore they did not have the capacity to understand the issues involved in the allegations of financial abuse. At the time of writing this review, their relatives had not been informed, but the local authority planned to involve them in decisions about the investigations of abuse.