Belmont Care Home

Changes were required regarding the management of risk and the safe management of medicines. Processes needed to be strengthened so that lessons could be learned and improvements made. People were protected and kept safe from the risk of abuse. The facilities and equipment metpeople’sneeds, were clean and well-maintained and any risks mitigated. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. People had enough to eat and drink to stay healthy, although changes were required to make sure care around food and drink was consistent. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. They monitored people’s health to support healthy living. Staff made sure people understood their care and treatment to enable them to give informed consent.

People were treated with kindness and compassion. Staff protected their privacy and dignity, treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. Theprovidersupported staff wellbeing.

People were involved in decisions about their care.Staffprovided information people could understand. People knew how to give feedback and were confident theprovidertook it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People were involved in planning their care and understood options around choosing to withdraw or not receive care, although some improvements were needed to make sure written information about decisions was clear.

Some areas of governance required strengthening to make sure risk was adequately managed and mitigated. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

We found breaches of the legal regulations in relation to safe care and treatment, and good governance.