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Care Home: Belmont Castle

  • Portsdown Hill Road Bedhampton Hampshire PO9 3JW
  • Tel: 02392475624
  • Fax: 02392450910

Belmont Castle is set in three acres of well-maintained gardens. It is situated in a quiet residential area with views of Portsmouth and the Solent. Most of the bedrooms have en-suite facilities. There are dining areas, two sitting rooms, a TV lounge and a small library area. The home has a shaft lift that services the three floors on which bedroom accommodation is situated. There are car parking facilities at the home. Staff are on duty 24 hours a day. An activities co ordinator is provided and there is an activities programme.

  • Latitude: 50.853000640869
    Longitude: -1.0099999904633
  • Manager: Ms Juanita Pearce
  • Price p/w: £695
  • UK
  • Total Capacity: 40
  • Type: Care home only
  • Provider: London Residential Healthcare Ltd
  • Ownership: Private
  • Care Home ID: 2862
Residents Needs:
Old age, not falling within any other category, Dementia, Physical disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Belmont Castle.

Random inspection report Care homes for older people Name: Address: Belmont Castle Portsdown Hill Road Bedhampton Hampshire PO9 3JW two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ian Craig Date: 1 0 0 3 2 0 1 0 Information about the care home Name of care home: Address: Belmont Castle Portsdown Hill Road Bedhampton Hampshire PO9 3JW 02392475624 02392450910 belmont@lrh-homes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) London Residential Healthcare Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 40 Number of places (if applicable): Under 65 Over 65 0 40 0 dementia old age, not falling within any other category physical disability Conditions of registration: 40 0 40 The maximum number of service users who can be accommodated is 40 The registered person may provide the following categories of service only: Care home only (PC) to service users of the following gender: Either: Whose primary need on admission to the home are within the following categories: Dementia (DE) Old age not falling in any other category, Physical Disability (PD) Date of last inspection 0 9 0 2 2 0 0 9 Care Homes for Older People Page 2 of 11 Brief description of the care home Belmont Castle is set in three acres of well-maintained gardens. It is situated in a quiet residential area with views of Portsmouth and the Solent. Most of the bedrooms have en-suite facilities. There are dining areas, two sitting rooms, a TV lounge and a small library area. The home has a shaft lift that services the three floors on which bedroom accommodation is situated. There are car parking facilities at the home. Staff are on duty 24 hours a day. An activities co ordinator is provided and there is an activities programme. Care Homes for Older People Page 3 of 11 What we found: The inspection took place from 10am to 3.30pm. The site visit took place due to concerns being raised from 2 sources and because of the fact that the service has had 3 managers in the last 12 months each of whom has left the service. Discussions took place with the current manager and with the head of care. 4 staff were interviewed about their work at the home. A residents relative and 3 residents were spoken to. A health care professional was also spoken to. Health and Personal Care The Commission received information that residents care plans are not reviewed and updated, and do not accurately reflect care needs. This was discussed with the current manager who acknowledged that the care plans need to be reviewed and updated shortly. The head of care and staff added that the care plans had been changed by the various managers. Care plans and care records were looked at for 5 people. Two of these had been completed in a new format and included the following areas: client information sheet, personal care needs, dental, optical, foot and oral care, elimination, physical well being, dietary requirements, mental health, medication, communication, personal safety, sleeping/night care, social requirements, religious observance, district nurse intervention and mobility. Individual personal preferences are recorded such as routines for personal care and details such as choices of toiletries. Care plans were seen for the 3 remaining people and included individual needs with guidance for staff that was not in sufficient detail. For 1 person the care plan referred to involving the person in his/her personal care without saying what staff needed to do. Another persons needs had been reassessed according to daily records but there was no assessment or review of needs nor an updated care plan. The manager said that the care plan is to be shortly updated. For another person there were details of a specific medical need but further details were needed to show how staff should deal with this. Mental health needs are recorded. Care records also contain assessments of pressure sore prevention and nursing Barthel assessments. Moving and handling risk assessments are carried out and recorded as well as risk assessments for falls and fire safety. Checks are made and recorded for health needs such as blood pressure, weight, breathing, blood sugar and respiration. Care records show that the service monitors any injuries to residents and that this is followed up with relevant medical staff. For 1 of the 5 people the care records show that residents representative had signed to acknowledge agreement to the care plan. The manager explained that future reviews of need will involve residents and their representatives. Staff reported that they read and use the care plans and record entries when they provide care. The Commission received information that the home accommodates those whose needs it Care Homes for Older People Page 4 of 11 may not be able to meet. The manager explained that the service is currently reviewing residents care needs which involves the input of qualified nursing staff from the organisation as well as taking account of residents wishes. It was not clear that the home is seeking assessments from community nursing staff to determine if the placements are suitable. Each of the staff who were spoken to said that the service provides a good standard of personal care. Residents also confirmed that they consider that their care needs are met by the service. Two residents said that the staff respond when they ask for help using the call points in their rooms. A call point was tested, which staff responded promptly to. A relative said that the personal care has greatly improved. A health care professional said that the home works in conjunction with community health services. Staff are said to respect residents dignity and privacy when providing care. Personal care needs are said to be met and that staff take time to talk and explain to residents what they are doing when providing care. Staff are said to be gentle in manner and skilled in dealing with needs associated with dementia. The home is also said to be quick in seeking advice from professionals. The homes medication procedures were looked at. Staff record a signature each time they administer medication. Controlled drug procedures were looked at. The home has made 2 notifications of errors in handling controlled medication in the last 6 months. Examination of stocks and records of medication administered show that controlled medication procedures are being followed and that where an error occurred the service took action to correct it. Staff receive training in handling and administering medication. This was confirmed from training records and from staff themselves. Daily Life and Social Activities The home has an activities coordinator who facilitates a programme of activities. An activities programme was displayed in the hall. Residents were observed taking part in activities in the morning and afternoon. A health care professional said that the home provides a range of activities. Residents also confirmed this by saying that they occasionally go out on trips to the shops and to the pub and that musical entertainment is provided. The manager explained how the service intends to develop the activities and to make more facilities available to residents such as access to a computer. Residents said that they have a daily newspaper delivered and that they take part in group crosswords and quizzes. A notice in the lounge displayed the day and date to help orientate the residents. Residents, a relative and staff confirmed that meetings take place where residents and relatives can discuss matter about the home and suggest improvements. The manager explained that the service takes account of the views of the residents. This resulted in a recent change to the seating arrangements in the dining area. Residents said that they are able to spend their time as they wish and that they are able to make a choice about what they have for breakfast and the time they get up. It was less clear that residents understood that they have a choice for the midday meal with 2 people saying that it is up to the residents to ask for something different if they dont like Care Homes for Older People Page 5 of 11 the meal on offer. Residents said that snacks are available at times other then meal times. There is a light meal in the evening following the 5pm meal. Residents said that they like the meals. A nutritional assessment was available for 1 of the 5 people whose care records were seen. The manager explained that these will be completed for each resident. Complaints and Protection The home has a complaints procedure. One person said that the service resolved a recent concern. Another concern had been raised, but the records of how the service dealt with this were not available as they were at the organisations head office. The manager said that these could be made available. At the time of the visit the manager said that the service had been contacted by social services regarding an investigation about concerns to 1 person. A referral was made by the Care Quality Commission to social services due to concerns about another person. The outcome and conclusion about these 2 concerns was not known at the time of the report being written. Environment Communal areas and a number of bedrooms were seen. Bedrooms contain items of personal possession including furniture, games, equipment for hobbies and photograph displays. Residents said that they like their rooms. Bedrooms were seen to be clean and decoration intact. A health care professional said the home is spotlessly clean. A relative said that the bedrooms are nice and that there no unpleasant odours in the home. It was noted that in each of 2 toilets near the lounge that a large waste bin for clinical waste was being stored. This created an unpleasant smell and hindered access to the toilet and wash hand basins. Improvements have been made to the environment including new flooring in communal areas, which a resident said created a brighter and improved environment. The manager said that the electrical wiring circuits were being checked by a qualified electrician at the time of the visit. Staffing At the time of the visit the home accommodated 29 residents. The home aims to provide the following staff: 8am to 2pm 7 care staff plus a senior carer, 2pm to 6pm 6 care staff and a senior carer, 6 to 8pm 5 care staff and a senior, and, 8pm to 10 pm 4 care staff. Night time staff consists of 3 waking staff. The staff rota showed that these hours are provided. In addition to the above, the home provides domestic, cleaning and laundry staff as well as the activities co ordinator, administrative and maintenance staff. Staff report that the home provides enough staff to meet residents needs but that this was not the case in the recent past. The manager described how the home had been Care Homes for Older People Page 6 of 11 short of staff, but that this has been addressed by the recruitment of new staff. 1 staff member said that the new staff are motivated and have had a positive effect on the service. The Commission received information that newly appointed staff are not adequately trained or supervised. This was checked for 4 staff who have recently started work at the home. Records show that a induction checklist is completed for each person, which is signed by the staff member and the manager. An induction checklist was not available for 1 person. Staff confirmed that they receive an induction which included a tour of the building and a period of shadowing more experienced staff before working alone. The manager said that staff shadow more experienced staff until they are assessed as being able to work on their own. There is no record made of the period of shadowing or the assessment that the person is competent to work without supervision. The manager agreed that this should take place and be recorded. The AQAA states that 19 of the 34 care staff have National Vocational Qualification (NVQ) level 2 or above. A staff member confirmed that he/she has completed NVQ level 2 and 3 and is enrolled to study NVQ level 4. Training records and certificates show that a large number of training courses were provided for staff in the 3 weeks prior to the visit. This included the following courses: food hygiene, infection control, safeguarding of vulnerable adults, the Mental Capacity Act 2005, deprivation of liberty safeguards, dementia, person centred planning, moving and handling, first aid and fire safety. Staff described the recent training as very good and 1 person said that it made him/her feel better about the work he/she does. One person said that there were few training opportunities until 2 weeks ago and that whilst he/she had now received moving and handling training that he/she had been lifting and moving residents for several months without receiving instruction. Staff recruitment procedures were looked at for 4 staff. The required Criminal Record Bureau (CRB) and Independent Safeguarding Authority (ISA) checks had been carried out. For 2 people references had been obtained including 1 from the most recent employer. For 2 others 2 written references had been obtained but neither of these were from the most recent employer. Management and administration Staff, a relative, a health care professional and a resident described the changes in the homes management as having an unsettling effect. Staff said that the situation had recently improved with the appointment of a new manager. Residents were not clear on the role of the current manager indicating that this needs to be clarified. The current manager stated that she will be applying for registration with the Commission. The Commission received notification of the latest change in the management arrangements at the home, but this was not from the person registered with the Commission. Notifications of this nature must be from a someone registered with the Commission. This has been raised with the service on a previous occassion. The AQAA states that monthly visits are made to the home by a representative of the organisation and a report compiled. There are opportunities for residents and relatives to express their views about the home Care Homes for Older People Page 7 of 11 at meetings. The manager states that the survey questionnaires given to residents relatives will also be given to residents. The manager has introduced a system of planning supervision for staff, which is recorded. Staff said that supervision has been inconsistent due to the management changes. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 8 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 21 23 Communal toilets must be free from obstructions. 30/04/2010 So that residents can safely access toilet and handwashing facilities. 2 29 19 2 writen references must be obtained before staff start work, 1 of which must be from the most recent employer. So that staff recruitment procedures protect residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 30/04/2010 Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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