Background to this inspection
Updated
6 January 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by two inspectors.
Service and service type
Ada Belfield Centre 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 inspection
We reviewed information we had received about the service since the last 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 used this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and four relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, deputy manager, senior care workers, care workers, domestic assistants and a kitchen assistant. We spoke with a visiting healthcare professional.
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 and staff supervision. 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. We spoke with two more professionals who regularly visit the service.
Updated
6 January 2022
About the service
Ada Belfield Centre is a residential care home providing personal care to up to 40 people aged 65 and over. At the time of inspection 25 people were living at the service. The home is split over two floors and there are four units; Arkwright and Derwent which supported people with longer term care needs, Thornton which was closed at the time of inspection and Strutt. Strutt is a therapy unit with community support beds available for people requiring rehabilitation support after a hospital stay with a view to discharging home.
People’s experience of using this service and what we found
Medicines were not always safely recorded, and lessons were not always learned when things had gone wrong.
People felt safe living in the home and systems were in place to protect them from abuse. People’s risks had been assessed and reviewed regularly. There were enough safely recruited staff to meet people's needs. Infection control measures were in place to keep people protected.
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 were kind and caring and respected people’s privacy, dignity, equality and rights. Staff knew people well and what was important to them. People were involved in, and supported to understand, decisions about their care.
There was a range of different activities for people living there to get involved in. People's independence was promoted. People were supported to have contact with friends and relatives.
The provider and registered manager had embedded a positive culture which promoted person centred care. People felt their views were listened to and acted on. There was a governance system in place that monitored the quality of 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 is the first comprehensive inspection at the new premises registered with us on 4 June 2020.
The last rating for the service at the previous premises was good, published on 31 December 2019.
Why we inspected
This was a planned inspection based on the provider not having received a comprehensive inspection since registration of the new location.
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.
We found no evidence during this inspection that people were at risk of harm from this concern.
We have found evidence that the provider needs to make improvement. Please see the safe section of this full report.
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.