Background to this inspection
Updated
16 May 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector, a Specialist Advisor who was a specialist in nursing care, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Belvedere Park Nursing Home is a 'care home'. People in care homes receive accommodation and
nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is
information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection and we sought feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service, eight relatives and five health or social care professionals who visited the service during our inspection about their experience of the care provided. We spoke with six members of staff including the registered manager, the deputy manager, nurses, care workers and the chef.
We reviewed a range of records. This included four people's care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
16 May 2020
About the service
Belvedere Park Nursing Home is a residential care home providing personal and nursing care to 23 people aged 65 and over at the time of the inspection. The service is registered to support 25 people.
People's experience of using this service and what we found
People were supported by knowledgeable staff who understood how to keep them safe and protect them from avoidable harm. People had their risks assessed and had up to date guidance to support people safely. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Staff understood how to prevent infection and followed best practice guidelines. Incidents and accidents were investigated, and actions were taken to prevent recurrence.
People's needs were assessed, and care was planned and delivered to meet legislation and good practice guidance. Staff were well trained and knowledgeable about people's needs and wishes. People were supported to have 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.
People were supported by compassionate staff who knew people well and championed their rights. The atmosphere within the home was friendly and welcoming. People and their relatives felt welcomed, involved and supported in decision making. People's privacy was respected, and their dignity maintained.
People were supported by staff who knew them well and supported them as an individual. Staff spent time with people, and activities were planned which were based on people’s interests. Complaints were investigated, and outcomes agreed, and improvements made when needed. When people needed support at the end of their lives staff were skilled and had links with community support.
The registered manager and his management team were open, approachable and focussed on providing person centred care. Systems were in place to monitor the quality of care provided. People, relatives and staff were supported and encouraged to share ideas for improvements. The registered manager and staff had established community links to improve people's well-being.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 06 February 2019 and this is the first inspection.
The last rating for this service was good (published 05 February 2019). Since this rating was awarded the registered provider and the registered manager of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection .
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.