Belvedere Manor

Belvedere Manor provides accommodation and personal care for up to 84 people. The home is a purpose-built property situated in Colne. The home has three floors known as Village suite, Woodlands suite and Garden suite. Woodlands suite specialises in providing care for people living with dementia. At the time of the inspection, there were 51 people accommodated in the home.

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

People told us they were happy living in the home. The manager operated appropriate infection prevention and control procedures which were understood and followed by the staff. All staff had completed training on the use of personal protective equipment (PPE) and participated in the weekly testing programme. The service had plentiful supplies of PPE and stocks were carefully monitored. We observed all staff were wearing appropriate PPE. The home had a satisfactory standard of cleanliness in all areas seen.

People were receiving their medicines in line with the prescriber’s instructions. Appropriate records were used to record the receipt, administration and disposal of drugs. However, not all the records were complete and up to date. The manager acknowledged the shortfalls and immediately made arrangements to carry out a full audit of the medicines in the home. We received a copy of the audit, along with a detailed action following the inspection.

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 (published 21/12/2019).

Why we inspected

The inspection was prompted in part due to concerns received about infection prevention and control practices and the management of medicines. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe section of the full report.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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.

We found the following areas of good practice:

The registered manager had established robust infection prevention and control procedures which were understood and adhered to by the staff. All staff had completed training on the use of personal protective equipment (PPE) and participated in the weekly testing programme. The service had plentiful supplies of PPE and stocks were carefully monitored. The premises were kept in a clean and hygienic condition throughout and regular checks were undertaken to ensure infection prevention and control measures were maintained.

There was clear signage for staff and visitors. Anyone entering the home had their temperature taken and were asked questions about their health to identify any signs of infection. Although visiting was subject to government restrictions, the registered manager had found different ways to enable people to maintain contact with their relatives. This included the use of technology. A dedicated room had also been set up with external access. The room was equipped with a screen and there was PPE readily available for visitors.

The atmosphere in the home was warm, comfortable and calm. Staff had worked hard to continue activities and maintain people’s spirits.

The provider’s infection prevention and control policies and procedures were up to date and an audit had been carried out. The provider had also developed a Covid-19 contingency plan, which set out in detail the continuity of the service during the current pandemic.

We were assured this service met good infection prevention and control guidelines.

Further information is in the detailed findings below.

Belvedere Manor provides accommodation and personal care for up to 84 people. The home is a purpose built property situated in Colne. The home has three floors known as Village suite, Woodlands suite and Garden suite. Woodlands suite specialises in providing care for people living with dementia. At the time of the inspection, there were 56 people accommodated in the home.

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

People told us they felt safe and staff were kind and caring. Staff understood how to safeguard people from abuse and report any concerns. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. Appropriate recruitment procedures ensured prospective staff were suitable to work in the home. People received their medicines safely and on time. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s needs were assessed prior to them using the service. There was ongoing training for all staff. Staff were supported with regular supervisions and were given the opportunity to attend regular meetings to ensure they could deliver care effectively. People were supported to eat a nutritionally balanced diet and to maintain their health.

Staff treated people with kindness and respect and spent time getting to know them and their specific needs and wishes. Our observations during the inspection, were of positive interactions between staff and people who lived in the home. Staff were responsive to people’s needs.

People were provided with appropriate activities and had access to a complaints procedure. All people had a care plan which was reviewed at regular intervals.

The registered manager carried out a number of audits to check the quality of the service. The registered manager provided clear leadership and took into account the views of people, their relatives, staff and visiting professional staff about the quality of care provided. The registered manager and staff used the feedback to make ongoing improvements to the service.

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

Rating at last inspection

The provider was registered with us on 12 December 2018 and this is the first inspection.

Why we inspected

This was the first inspection of the service based on the registration of the home.

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.