We carried out a review of the data available to us about Belmont Grange Nursing and Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Belmont Grange Nursing and Residential Home, you can give feedback on this service.
Belmont Grange Nursing and Residential Home is a residential care home providing personal and nursing care to up to 30 people. The service provides support to adults and older people in one adapted building. At the time of our inspection there were 29 people using the service.
People’s experience of using this service and what we found
There was a positive culture in the home and people achieved good outcomes. People and relatives told us the service was homely and staff were very caring. Relatives spoke highly of the home, several told us they would recommend it to others. People told us they were happy with the care they received, one told us, “It’s very good care here.”
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, however records were not always fully completed. CQC had not always been notified in a timely way when the home had been granted authorisation to deprive people of their liberty. We have made a recommendation about oversight of these processes.
Safeguarding systems, policies and procedures helped protect people from avoidable harm. Staff were recruited safely. People told us they felt safe at the service. Medicines were safely managed, however there was some recent recording errors staff were working to correct. The home was clean, maintained to a high standard and safety checks were kept up to date. Risks were identified and actions taken to reduce these. People were supported by a well-trained and knowledgeable staff team. People were supported to access external health care professionals, to ensure their needs were met. Health professionals were complimentary about engagement and the responsive way staff acted to address people’s needs.
People’s nutritional needs were met, and people were given enough support with eating and drinking. Management had introduced effective systems to promote hydration. Staff promoted individual's dignity and privacy. Staff supported people in a person-centred way and knew people well, to enable them to provide individualised support. The service provided a range of activities based on people's individual needs and abilities. People were encouraged and supported to maintain relationships and community links. Some people were ‘resident representatives’ and represented other’s rights, taking part in recruitment of new staff or working with local community groups around activities.
Audit systems were in place to maintain standards in the service. People and staff told us the registered manager was helpful, approachable and dealt with concerns if raised. Staff had close links with health professionals, met with them regularly to review people’s needs and had taken part in projects, such as around improved communication. People were actively involved in developing the service and their feedback was listened to. There were various ways the service communicated and encouraged involvement, including newsletters and social media. The registered manager was proactive in seeking out initiatives for the benefit of people using 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
This service was registered with us on 18 October 2021 and this is the first inspection.
The last rating for the service under the previous provider was outstanding, published on 15 November 2019.
Why we inspected
This was a planned comprehensive inspection based on the date the service was registered.
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 COVID-19 and other infection outbreaks effectively.
Recommendations
We have made a recommendation about the oversight of mental capacity and deprivation of liberty notifications.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.