28 September 2021
During an inspection looking at part of the service
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.