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Archived: Belvoir Home Care Home Requires improvement

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Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 August 2016

This was an unannounced inspection carried out on 21 July 2016.

Belvoir Home Care Home can provide accommodation and personal care for 20 older people and people who live with dementia. There were 18 people living in the service at the time of our inspection.

There was a registered manager in post. 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.

People were not suitably protected from the risk of acquiring avoidable infections. Staff knew how to respond to any concerns that might arise so that people were kept safe from abuse including financial mistreatment. People had been helped to avoid the risk of accidents and medicines were managed safely. There were enough staff on duty to care for people and background checks had been completed before new staff were appointed.

Parts of the accommodation were not adapted and decorated to meet people’s needs. Staff had received training and guidance to support them to care for people in the right way. People had been assisted to eat and drink enough and they had been supported to receive all of the healthcare assistance they needed.

Staff had ensured that people’s rights were respected by helping them to make decisions for themselves. The Care Quality Commission is required by law to monitor how registered persons apply the Deprivation of Liberty Safeguards (DoLS) under the Mental Capacity Act 2005 (MCA) and to report on what we find. These safeguards protect people when they are not able to make decisions for themselves and it is necessary to deprive them of their liberty in order to keep them safe. Two people living in the service were being deprived of their liberty and the registered manager had taken the necessary steps to ensure that their legal rights were protected.

People were treated with kindness and compassion. Staff recognised people’s right to privacy, promoted their dignity and respected confidential information.

People had been consulted about the care they wanted to receive and they had been given all of the assistance they needed. This included people who lived with dementia and who could become distressed. People were supported to pursue their hobbies and interests and there was a system for resolving complaints.

Quality checks had been completed to ensure that people received the facilities and services they needed. Good team work was promoted and staff were supported to speak out if they had any concerns because the service was run in an open and inclusive way. People had benefited from staff acting upon good practice guidance.

Inspection areas

Safe

Requires improvement

Updated 20 August 2016

The service was not consistently safe.

People were not suitably protected from the risk of acquiring avoidable infections.

Staff knew how to keep people safe from the risk of abuse including financial mistreatment.

People had been helped to avoid the risk of accidents and medicines were managed safely.

There were enough staff on duty and background checks had been completed before new staff were employed.

Effective

Requires improvement

Updated 20 August 2016

The service was not consistently effective.

Parts of the accommodation were not adapted and decorated to meet people’s needs.

Although staff knew how to support people in the right way the registered persons had not made robust arrangements to provide all of the training they considered to be necessary.

People were helped to eat and drink enough to stay well and they had been supported to receive all the healthcare attention they needed.

People were helped to make decisions for themselves. When this was not possible decisions were made in people’s best interests and their legal rights were protected.

Caring

Good

Updated 20 August 2016

The service was caring.

Staff were caring, kind and compassionate.

People’s right to privacy was respected and staff promoted people’s dignity.

Confidential information was kept private.

Responsive

Good

Updated 20 August 2016

The service was responsive.

People had been consulted about the care they wanted to receive.

Staff had provided people with all the care they needed including people who lived with dementia and who could become distressed.

People were supported to pursue their hobbies and interests.

There was a system to resolve complaints.

Well-led

Requires improvement

Updated 20 August 2016

The service was not consistently well led.

Quality checks had not always been robustly completed so that problems could be quickly addressed.

People and their relatives had been asked for their opinions of the service so that their views could be taken into account.

Steps had been taken to promote good team work and staff had been encouraged to speak out if they had any concerns.

People had benefited from staff acting upon good practice guidance.