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Belton House Retirement Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 15 May 2021

Belton House Retirement Home is a residential care home providing personal care to older people with a physical disability, sensory impairment, dementia and mental health needs.

The service can support up to 26 people across two separate floors. 21 people lived at Belton House Retirement Home at the time of inspection.

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

The registered manager failed to implement all the required infection prevention and control procedures. They failed to implement recommendations and advice given to them from reports from other agencies regarding these.

The service did not consistently screen visitors for symptoms of COVID-19. Social distancing was not promoted in the service. Bedrooms were not consistently deep cleaned, and weekend staff had not recorded the cleaning of frequently touched areas such as door handles and light switches. People’s COVID-19 risk assessments did not consider their individual risks associated with their diagnosed conditions.

Improvements were required to the monitoring of the quality and safety of the service as planned audits had not been completed consistently or to a sufficient standard. There was a potential for people to be placed at risk due to the length of time between checks as areas that required repair or improvement had not been identified.

We found the following examples of good practice

Testing was completed for staff and people living at the service. This meant prompt action could be taken should anyone test positive for COVID-19.

Staff were observed wearing the correct Personal Protective Equipment (PPE) in line with government guidance. PPE was accessible throughout the service.

People were supported to maintain contact with family members and friends via phone and video calling.

People were admitted to the service safely and were supported to isolate on admission in line with government guidance.

Staff understood the principles of isolation, co-horting and zoning should there be a COVID-19 outbreak. The service had learned lessons from a COVID-19 outbreak during November 2020.

People were supported to attend hospital appointments. Staff ensured measures were taken to reduce risks to people such as regular handwashing, use of hand gel and PPE.

People’s risks had been assessed and care plans guided staff on how to mitigate these known risks.

The service deployed enough staff to meet people’s needs. The registered manager ensured people were cared for by staff they knew, even when using agency staff. All staff received an induction and were recruited safely.

People received their prescribed medicines safely. People were protected from abuse as staff understood their responsibilities and how to report their concerns.

Further information is in the detailed findings below.

Rating at last inspection

The last rating for this service was good (published 19 December 2019). You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Belton House Retirement Home on our website at

Why we inspected

The inspection was prompted in part due to concerns received about infection prevention procedures, staffing numbers and medicines management. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary

Inspection areas


Requires improvement

Updated 15 May 2021

Further information is in the detailed findings below.



Updated 15 May 2021



Updated 15 May 2021



Updated 15 May 2021


Requires improvement

Updated 15 May 2021

Further information is in the detailed findings below.