Bellsgrove Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question Requires Improvement. We also identified a breach of Regulation 9 (Person centred care). At this assessment the rating has changed to Good and the service was no longer in breach of Regulation 9.

This meant people’s needs were met through good organisation and delivery.

This service scored 68 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. Care plans were comprehensive and included personal information about the person and their specific needs in all areas of their daily life. One person supported a particular football team. The registered manager told us, “We’re going to put some football things on his door, so it feels more individual. We’ve worked to make it more dementia friendly since the last inspection.” We observed a staff member seen looking through a family photo album with a person and engaging in conversation about their family and friends in the photos.

People and relatives felt there were enough activities to keep people busy and engaged. One relative told us, “The staff are frequently involved with activities with the other residents when I visit, and I'm also aware that the home has visiting entertainment, and other activity-based visits.” A staff member added, “People do have activities here. We do take them out. We always try, and sometimes they don’t want to go out. We play all sorts of games with them. [Person] taught me how to play dominoes.”

The provider understood the diverse health and care needs of people, so care was joined-up, flexible and supported choice and continuity. Agency staff were used to fill any gaps in staffing rotas. Where possible, the provider ensured the same agency staff were used to ensure continuity in care for people.

The provider worked with people and healthcare partners to establish a continuity of care, including when people moved between different services. The registered manager was creating ‘hospital passports’. These documents provide other healthcare professionals with a clear and concise care plan for a person, which can be used in situations such as an emergency admission to hospital.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. The registered manager told us, “On their preadmission, if a person requires information in a different format, we can do that for them. They’ve got access to policies if they need them. One person uses a whiteboard as they are hard of hearing, so it makes it clearer for them.” We observed visual aids being used to support people choose what they wanted to eat for their meals. A board was positioned in the lounge which informed people what the date was, what menu options were for lunch and dinner, and which staff were working that day.

Relatives were kept informed and up to date on their family member’s health and wellbeing. One relative told us, “[The registered manager] always keeps me updated. The staff are very attentive and always alert me if [person] is not feeling well or has a change in condition.” This meant relatives still felt involved and an important part of their family member’s life.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result. The registered manager told us, “Resident meetings are done as regularly as I can. Some people will engage, but I will try to include them all. [One person] used to run bible clubs so I got them to sit next to me and help chair the meeting on the last one.” One person’s care plan showed they were initially reluctant to have night checks. Following this, staff had a conversation with the person who agreed staff could check on him during the night as long as they didn’t disturb him. He confirmed to us that this was working well.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. We observed end of life care plans in people’s records which included who they would like to be contacted in their last days, and details of any funeral plans. Care plans also included details of any Do Not Attempt Resuscitation (DNAR) documentation. DNAR forms are used by doctors to communicate that a decision has been made with the person not to attempt Cardiopulmonary resuscitation (CPR).In the situation where the person lacks mental capacity, the decision is made jointly with those involved in the person’s care in their best interest.