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Expect Limited - 6 Belvidere Park Good


Inspection carried out on 14 January 2020

During a routine inspection

About the service

Belvidere Park is residential care home providing personal care to three people at the time of our inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a period domestic style property. It was registered for the support of up to four people. The building design fitting into the residential area and the other domestic homes. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good for the safe, effective, caring and well-led domains. There has been a change of rating to Outstanding for the responsive domain.

The culture and ethos of the service valued the uniqueness of every individual and promoted the provision of care and support as individual as the person receiving it. People using the service benefitted from tailor made care which was unique to them, improved their lives and had a positive impact on their well-being. The service responded and adapted to meet people's change in care and support needs in a timely way.

The registered manager was passionate about empowering people to have a say in the care and support they wanted and to live a life of their choosing. This vision was widely shared by staff.

The service took the time to get to know about what was important to people. This information was used to determine people’s aspirations for the future and to empower people to live a more independent life. Staff supported people to maintain relationships with people who were important to them.

Belvidere Park had a relaxed and informal environment. People told us they thought of Belvidere Park as their own home. There was a 'family feel' to the service. There were no set routines at the home and people’s preferences and choices dictated how the day went.

People received care and support from staff who were caring, compassionate and familiar to them. Staff provided care and support with consideration to people's needs and preferences. It was evident staff had formed genuine relationships with the people they supported.

People were supported in such a way that allowed them maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Feedback about the management of the service from people, their relatives and staff was positive.

Staff were well supported in their role with appropriate training and supervision. Staff had also received additional training to meet the specific needs of the people they were caring for.

Checks and audits were in place to determine the quality and safety of the care and support being provided. Risk to people was appropriately assessed and measures were put in place to support people safely, whilst still respecting t

Inspection carried out on 21 February 2017

During a routine inspection

Belvidere Park is a residential care home for up to three people living with mental health and learning disabilities. The property is a large detached property, situated in the residential area of Crosby and is located close to public transport links, leisure and shopping facilities. There are bedrooms and bathrooms on the ground and first floor. The first floor can be accessed via a stair lift.

At the last inspection, the service was rated Good. At this inspection we found the service remained good.

The registered manager had systems in place to record accidents and incidents and take appropriate action when required. Recruitment checks were carried out to ensure people were suitable to work with vulnerable people at the home. We saw there were enough staff on duty to meet people’s needs.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

Risk assessments had been developed to minimise the potential risk of harm to people who lived in the home. These were reviewed on a regular basis.

Person centred plans were in place detailing how people wished to be supported, as well as action plans detailing people’s hope and aspirations and their progress in achieving them.

Staff responsible for assisting people with their medicines had received medicines training to ensure they were competent and skilled to do so.

People regularly received snacks and drinks between meals to ensure they received adequate nutrition and hydration. Meals were with people’s preferences in mind.

We found people had access to healthcare professionals and their healthcare needs were met.

People who lived at the home participated in a range of activities, both with one another or individually with a staff member. People were supported to access their local community on a daily basis, when possible.

People who used the service knew how they could make a complaint. The complaints procedure was displayed in the home.

The registered manager used a variety of methods to assess and monitor the quality of the service provided at Belvidere Park. These included regular audits of the service and ‘staff and residents’ meetings to seek the views of people about the quality of care.

The service met all relevant fundamental standards.

Inspection carried out on 27 & 28 October 2014

During a routine inspection

This inspection was announced and took place on 27 and 28 October 2014.

Belvidere Park is a large detached property, situated in the residential area of Crosby in Merseyside. It is located close to public transport links, leisure and shopping facilities. The service is operated by Expect Limited. The home provides care for adults with a learning disability and/or experiencing mental health problems and is registered to take up to three people. At the time of our inspection there were two people living in the home.

A registered manager was 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 told us they were happy at the home, and our observations supported this.  Staff knew people’s individual needs and how to meet them. We saw that there were good relationships between people living at the home and staff, with staff taking time to talk and interact with people.

Throughout the inspection we observed staff supported people in a caring manner and treated people with dignity and respect. Staff demonstrated they had good knowledge of people’s needs and supported them as they preferred.

People had access to the local community and had individual activities provided. There were enough qualified and skilled staff at the home to meet people’s needs.

People were kept safe because there were arrangements in place to protect them from the risk of abuse.

CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS). We found the location to be meeting the requirements of DoLS.

Staff received an induction and regular training in many topics such as the Mental Capacity Act (2005), safeguarding adults, medication administration, food safety, infection control, challenging behaviour, Control of Substances Hazardous to Health (COSHH) and fire safety. This helped to ensure that they had the skills and knowledge to meet people’s needs.  Staff we spoke with told us the manager was approachable and supportive.

The care files we looked at contained relevant and detailed information to ensure staff had the information they needed to support people in the correct way and respect their wishes, likes and dislikes.

The home was well run by the manager and the building well maintained. We found checks were made regularly to ensure it was safe.

Inspection carried out on 27 November 2013

During a routine inspection

We found that people's views were taken into account into the way this service was delivered. People were supported to go out into the community and to enjoy hobbies that were important to them. Staff we spoke with had an in-depth knowledge of people's preferences and this was supported by what people told us and the documentation we reviewed.

During this visit we used interviews and observations to review the service. Some people who used the service were able to tell us about living at the home and for others we observed non-verbal communication. People told us "I love it here". Staff told us "It is a lovely place to work".

People's health needs were regularly assessed and staff who worked there were able to tell us what those needs where. There was good evidence of processes in place to support staff and people to get help if needed.

We reviewed policies and spoke to staff who were able to explain the procedures in place to safeguard people using the service.

We reviewed the premises and equipment in place and accompanying policies and procedures associated with this. We found equipment to be in a good state of repair and were satisfied that there were mechanisms in place to maintain equipment. We found the premises to be in a good state of repair

Inspection carried out on 15 January 2013

During a routine inspection

The people who use the service could not tell us about their experiences of using it or comment about the care and support they received, due to a variety of complex needs. However we spent time observing the interaction between the people who lived at the home and the staff.

We saw that people were encouraged to be independent around the home and in the activities they took part in. We saw care and support being provided that was appropriate to the person's needs.

We saw that people who lived at the home were very relaxed and confident around staff. This shows that people feel safe in the home. The service took account of people's status in terms of decision making and worked closely with people, their families and external professionals.

We looked at the care records and found they contained all of the relevant documents to support a person safely. We looked at staff files, training and supervision records. We spoke with the registered manager and two support staff employed at the home.

During our visit we saw that the service had systems in place to recruit staff and ensure they were able to work safely with vulnerable adults. Staff we spoke with told us an improved induction programme had been introduced. We found that staff had good access to training to help them carry out their work.

The feedback received from the members of staff was all positive.

Inspection carried out on 9 February 2012

During a routine inspection

Due to the different ways that the people living at 6 Belvidere Park communicate we were not able to directly ask them their views on the support they received.

However, during our visit we met with all of the people living there. We spent time observing the support they received from staff with their everyday lives and how they chose to spend their time at home. We have taken this information into account in writing this report.