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Inspection Summary


Overall summary & rating

Good

Updated 20 March 2019

About the service:

Belmont House is a care home that provides accommodation and personal or nursing care for up to 52 people. At the time of this inspection there were 42 people using the service.

People’s experience of using this service:

• Belmont House had sustained compliance with the regulations since the last inspection but aspects of the service had deteriorated. A new manager had recently started working at the service. They were responsive to inspection feedback and understood further improvements to the service were required;

• People told us staff were kind and caring. They were positive about how they were treated by staff. People told us they were in control of their day to day routines and staff supported them to remain independent. Staff asked people for consent before providing care, however improvements were required in how the service recorded assessments of people’s capacity to make decisions and best interest decisions made on their behalf;

• People felt safe whilst residing at Belmont House. They had access to other community health professionals as required. Staff supported them safely with their medicines;

• Most staff could tell us about people’s likes and dislikes and knew information about people’s backgrounds. They used this knowledge to care for people in the way they wanted. However, information about people’s preferred priorities for care at the end stages of their lifer was not recorded in detail in people’s care records, which meant their wishes or preferences were at risk of not being followed or respected;

• Refurbishment and redecoration was ongoing at the service. Clear signage was available to orientate people to key places in the service. However, further improvements were required to make the service dementia friendly;

• Staff received a range of training and people thought staff had the right skills and experience to care for them effectively.;

• People were positive about the quality of the food. People were provided with a range of food options that met their nutritional requirements;

• Risks to people receiving care at Belmont House were assessed and kept under review. People’s needs were assessed and support plans were developed to guide staff in how to care for each person.

• People and their relatives gave mixed feedback about the range of activities which took place both in the home and in the community. We have made a recommendation about the provision of activities at the service;

• People who used the service and their relatives told us they had confidence in the management team and they could raise any concerns, which would be responded to. They also had the opportunity to attend regular meetings about the service to provide feedback and ideas for improvement. Relevant stakeholders were not always asked for feedback about the service in order to drive improvements;

• The service met the characteristics of good in all key questions, with the exception of responsive. The manager had plans in place to improve other areas of the service.

More information is in the full report.

Rating at last inspection:

At the last inspection the service was rated good (published 23 June 2016).

Why we inspected:

This was a planned inspection based on the rating awarded at the last inspection.

Follow up:

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

Inspection areas

Safe

Good

Updated 20 March 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 20 March 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 20 March 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 20 March 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 20 March 2019

The service was well-led.

Details are in our well-led findings below.