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Belmont House Residential Home Requires improvement

Action is being taken against the provider of this service. Find out more

  • We have served a fixed penalty notice to Mr & Mrs P S Phillips for failing to meet fundamental standards of the Care Quality Commission’s Regulations at Belmont House Residential Home on 19 August 2019. Fines totalling £100 have been paid as an alternative to prosecution.
The provider of this service has requested a review of one or more of the ratings.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 August 2019

Belmont House Residential Home accommodates up to 24 older people in one adapted building. There are communal lounges, bathrooms and a garden. At the time of the inspection there were 19 people living in the service.

People’s experience of using this service and what we found

Infection control processes did not always protect people from cross infection.

Staff did not always follow the system in place for reporting incidents. This meant appropriate action may not have been taken to safeguard the people concerned or reduce the risk of reoccurrence. Where concerns, complaints or incidents had been brought to the attention of the registered manager or senior staff, action had been taken.

Systems were in place to help ensure staff were recruited safely and people received their medicines as prescribed. However, there were some areas requiring improvement and we have made recommendations about these.

People felt safe, staff understood any risks to people and helped them stay safe.

When people lacked the capacity to make their own decisions, assessments had been completed on their behalf.

Staff received an induction and regular training. People were supported to stay healthy and to eat and drink well. The provider had recently reviewed and changed the use of the environment to better meet people’s needs.

People were well cared for by staff who understood their needs and supported their independence. Staff had time to spend with people and enabled them to make decisions about their day.

Staff knew people well but information about people’s preferred routines, the way they wanted to be supported and how to promote their wellbeing and social needs were not recorded in detail. We made a recommendation about this.

The way people required information presenting to meet their needs had not been assessed or recorded. We have made a recommendation about this.

People, visitors and staff knew the registered manager and described them as ‘hands on’. The provider and senior staff showed they were keen to learn from mistakes and take action to improve the service.

Governance procedures within the service had not been effective in identifying all areas for improvement or ensuring changes were made to reflect best practice.

Following the inspection, the provider shared what action they were taking to improve the service following feedback from the inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Belmont House Residential Home on our website at www.cqc.org.uk.

Rating at last inspection The last rating for this service was good (report published 19 December 2016).

Why we inspected This was a planned inspection based on the previous rating.

Enforcement We have identified breaches in relation to infection control, management of risks to people and how the quality of the service was monitored at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 7 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 7 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 7 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 August 2019

The service was not always well-led.

Details are in our well-Led findings below.