Archived: Belton House Retirement Home

Updated 13 September 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We previously undertook an inspection on 23 February 2015. We found that all of the five outcomes required improvements and that there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. After the inspection, the provider wrote to us to say what they would do to meet requirements in relation to safe, effective, caring, responsive and well led areas of the service.

We undertook an inspection on 18 August 2016 to check that they had followed their plan and to confirm that they now met legal requirements and regulations relating to the standards under the Health and Social Care Act 2008. This report covers our findings in relation to those previous requirements only. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Belton House Residential Home on our website at www.cqc.org.uk.

This inspection was unannounced and carried out by one inspector.

Before the inspection we reviewed the information we held about the service. This included any statutory notifications we had received. Statutory notifications tell us about important events which the service is required to tell us by law. We had received a completed Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During our visit we spoke with three people who lived at the service, two care staff, two catering staff, the training manager and the registered manager. We also used the Short Observational Framework for Inspection (SOFI) to observe the care and support provided to people in the dining room at lunch time. SOFI is a specific way of observing care to help us understand the experience of people who could not speak with us.

We reviewed a range of records about people's care and how the service was managed. These records included two sets of care records relating to the care and support for two people who lived at the service, medicine administration records, staff rotas, internal audits and staff training records.

Updated 13 September 2016

We inspected this service on 18 August 2016. The inspection was unannounced.

The service was last inspected on 23 February 2015. At that inspection we found that all areas required some improvements and there was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We asked the provider to implement changes to ensure that they met the regulations. At this inspection we found that the necessary action had been completed and improvements had been made to improve the quality of the service that was provided.

Belton House Retirement Home provides accommodation for up to 22 older people, some of whom were living with dementia. On the day of our inspection there were eight people who lived at the service and nine people were staying for a short break.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from harm. People had told us at the last inspection visit that they felt safe and there were sufficient numbers of staff who were appropriately deployed. Risks associated with people's care were assessed and managed to eliminate or reduce any harm presented to people using the service.

All staff had received appropriate training that enabled them to meet the needs of people who used the service. People received their medicines as required and medicines were managed, stored and administered safely.

People were supported and encouraged to make decisions about the care and support they received. They had their mental capacity assessed where necessary to support people's dignity and independence. The provider was aware of their responsibility to meet the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were offered and encouraged to participate in meaningful activities and to also follow their interests. People's chosen bath and shower preferences were supported and personal choices were fully detailed in care plans.

At our last inspection we found that while some systems were in place to monitor the service, these were not always effective. We found at this inspection that regular audits had been completed relating to all areas of the service and any actions needed had been taken promptly and these were then dated and signed on the records. The monitoring systems and follow up actions therefore meant that the service was no longer in breach of Regulation 10.