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Belmont Lodge Care Centre Inadequate

We are carrying out a review of quality at Belmont Lodge Care Centre. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 4 January 2020

About the service

Belmont Lodge is a care home which provides personal care and support for up to 46 older people some of whom may be living with dementia. At the time of our inspection, 33 people were being supported at the service.

Risks to people's safety were not always identified and mitigated and risk assessments did not always contain accurate information to help staff manage risk. Incidents and accidents were not managed safely to prevent a reoccurrence.

Suitable systems and processes were not in place to ensure people consistently received the care they needed and had the right to expect. Robust arrangements had not been made to safeguard people from situations in which they may be at risk of experiencing abuse.

There were insufficient numbers of skilled and competent staff to keep people safe and meet their needs. The registered manager had not based staffing levels on people's needs and the type and level of support each person required throughout the day in relation to risk. The service has several lounges, sitting areas and corridors to cover throughout the service and staff were not always deployed effectively.

People's care was not always robustly assessed and reviewed to ensure it was up to date and in line with best practice. Staff were caring but did not always have the skills and knowledge to undertake their role. The provider had not always assured themselves staff were appropriately trained, experienced or competent.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Quality assurance processes were not always effective. They had not identified concerns we found during the inspection, relating to the management of behaviours

The provider had not notified CQC of all safeguarding incidents in line with legal requirements. These omissions meant CQC did not have oversight of all safeguarding allegations to make sure appropriate action had been taken.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (report published 29 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safe care and treatment, safeguarding people from abuse, staffing, consent to care, notifying of incidents and good governance.

Follow up

The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. This means we will keep the service under review and, if we do not propose to cancel the provider's registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service.

This will usually lead to cancellation of their registration or to varying the conditions the registration. For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Inadequate

Updated 4 January 2020

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 4 January 2020

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 4 January 2020

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 4 January 2020

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 4 January 2020

The service was not well-led.

Details are in our Well-Led findings below.