Archived: BelleRose Residential Home

Updated 13 July 2015

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 28 and 29 April 2015 and was unannounced. The inspection team consisted of two inspectors and an expert-by-experience whose experience was in the support of people with a mental health need. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

We reviewed all information we held about the service, which included notifications the provider had sent us. A notification is information about important events which the provider is required to send us. We also looked at recent reports from the local authority contract monitoring team.

We spoke with nine people who lived in the home, the registered manager, five support staff and the NI. We also observed how care was being provided in communal areas of the home.

Following the visit to the home, we obtained the views of other health and social care professionals about the quality of the care provided by the service, this included the local authority commissioners of the service.

Updated 13 July 2015

This inspection was carried out on 28 and 29 April 2015 and was unannounced. This was the first inspection carried out since the service was registered with the Care Quality Commission on 5 January 2015.

BelleRose Residential Home provides accommodation and personal care to nine people. 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 and associated Regulations about how the service is run.

On the day of this inspection, there were nine people living at the home. People supported by the service had varying degrees of mental health needs as well as requiring support with their day to day care needs.

The Care Quality Commission (CQC) is required to monitor the operation of the Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLs) and to report on what we find. DoLs are put in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves or others. At the time of the inspection applications had been made to the local authority in relation to people who lived at the service and were pending an outcome. Staff were fully aware of their role in relation to MCA and DoLs and how to support people so not to place them at risk of being deprived of their liberty.

People received personalised care and staff knew them well. Relationships between people who used the service, the manager and support staff were positive. We found that support staff were caring and responsive. However, several people told us that they felt disrespected by the NI. Care plans were well written and were reviewed on a regular basis. People told us that they were not involved in planning and reviewing their care.

The provider did not have an effective recruitment processes in place that protected the people who used the service. Frequent staff changes meant that people were not always supported by a consistent group of staff who they knew.

The lack of managerial support and guidance from the provider to the manager failed to ensure that people were provided with a consistent standard of care.

At this inspection we found the service to be in breach of the Health and Social care Act 2008 (Regulated activities) Regulations 2014. CQC is considering the appropriate regulatory response to resolve the problems we found.

The overall rating for this provider is ‘Inadequate’. This means that it has been placed into ‘Special measures’ by CQC. The purpose of special measures is to:

• Ensure that providers found to be providing inadequate care significantly improve
• Provide a framework within which we use our enforcement powers in response to inadequate care and work with, or signpost to, other organisations in the system to ensure improvements are made.
• Provide a clear timeframe within which providers must improve the quality of care they provide or we will seek to take further action, for example cancel their registration.

Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.