Archived: Belle Rose Nursing Home Limited

Updated 16 April 2021

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 was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Belle Rose Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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

This inspection visit took place on 2 February 2021. We announced the inspection the day before we visited to discuss the safety of people, staff and the inspector with reference to the COVID-19 pandemic.

What we did before the inspection

We reviewed feedback gathered from the provider about changes they had made to improve their response to the COVID-19 pandemic following a support visit from the Dorset NHS Clinical Commissioning Group (CCG) Quality Improvement Team. Prior to the visit we requested copies of infection control policies and their most recent infection control audit. We also reviewed feedback from the local authority and CCG.

During the inspection

We spoke with two nurses and the housekeeper during our visit. The day after our visit we spoke with another nurse and the provider by telephone. We spoke with two people who lived in the service and looked around the building. We reviewed cleaning records, an infection control audit, guidance for staff and records relating to staff testing for COVID-19.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at cleaning schedules, quality assurance records and information related to COVID-19 testing. We also sought feedback related to infection control from health care professionals who regularly visit the service.

Updated 16 April 2021

Belle Rose Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Belle Rose Nursing Home was registered for 12 people. There were 10 people living in the home at the time of our inspection. People had a variety of care and support needs related to their physical and mental health.

This unannounced inspection took place on 24 February 2018. At our last inspection in October 2016 we identified a breach of regulation. This breach was in respect of the governance of the home. At this inspection we checked to see if the provider had made the improvements necessary to meet the requirements of the regulation. We found that they had made improvements to the quality of care people received in line with the findings of the CQC and quality monitoring carried out by the statutory agencies.

There was a registered manager for the service. 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 happy with their care and they were confident in the registered manager and staff team. They told us the staff were kind and we saw staff were cheerful and treated people and visitors with respect and kindness throughout our inspection. People also told us they saw health care professionals when necessary and were supported to maintain their health by staff. People’s needs related to on going healthcare and health emergencies were met and recorded. People received their medicines as they were prescribed.

Staff were consistent in their knowledge of people’s care needs and spoke with confidence about the personalised support people needed to meet these needs. They were committed to supporting people to live their life the way they chose to within a homely environment. They told us they felt supported in their roles and had taken training that provided them with the necessary knowledge and skills. There was a plan in place to provide staff with refresher training. They told us there were enough staff and we saw that people received care and support when they needed it.

People felt safe. They were protected from harm because staff understood the risks people faced and how to reduce these risks. Measures to reduce risk reflected the person’s preferences. Staff knew how to identify and respond to abuse.

Where people had received end of life care in the home feedback from relatives was consistent in its acknowledgement of the kindness and compassion of the staff team in ensuring people’s wishes and needs were met.

People described the food as very good and there were systems in place to ensure people had enough to eat and drink. Where people changed their mind about what they wanted to eat they were offered alternatives.

People were engaged with activities that reflected their preferences, including individual and group activities both in the home and the local area.

Staff understood how people consented to the care they provided and encouraged people to make decisions about their lives. Care plans reflected that care was being delivered within the framework of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards had been applied for when necessary.

There were systems in place to monitor and improve the oversight of the home. We found that recording around staff recruitment and training and support was not robust and we have made recommendations about this.