Background to this inspection
Updated
15 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 25 February 2022 and was announced. We gave the service 48 hours’ notice of the inspection.
Updated
15 March 2022
About the service
Belle Vue is a residential care home providing personal care to eight people with a learning disability at the time of the inspection. Belle Vue accommodates eight people in one adapted building.. Some people also had a physical disability and the service had been adapted to accommodate their needs such as ramps and wet rooms. Each person had their own bedroom and shared several bathrooms and other communal spaces including outdoor space.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, to indicate it was a care home.
People’s experience of using this service and what we found
People were happy living at Belle Vue and with the staff who provided their care. Relatives also gave positive feedback about how staff treated people. People liked the staff that cared for them. People told us staff “help me", and "give me time". Staff were kind and caring, they involved people in their care and respected people's privacy.
People were safe because staff knew what they were doing, staff received training and the building people lived in was secure. There were enough staff, and the registered manager interacted with people regularly as a group and as individuals. The registered manager completed all pre-employment checks before new staff started work. People told us they always received their medicines and that staff administered them safely. Staff supported some people to be able to safely administer their own medicines. Staff completed medicine records accurately and with enough detail.
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. Staff supported people with meals and drinks and encouraged them to do this for themselves using different levels of support to suit individual needs. Staff acted to reduce the risks of spreading infection.
Staff followed advice from health care professionals and made sure they asked people's consent before caring for them. Staff worked well together, they understood the aim of the service to provide quality support, promoting independence and valuing people. The registered manager used feedback and audit systems to check how well the service was running. Where they found concerns, they followed this up and acted to rectify the issue.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values which include choice, promotion of independence and inclusion, were being applied by the service People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support and people's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 30 November 2016).
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 re-inspection programme. If we receive any concerning information we may inspect sooner.