Belamacanda

Updated 23 September 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

This inspection took place on 3 July 17 and was unannounced. The inspection was carried out by one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, the provider completed a 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. We reviewed the information in the PIR along with information we held about the service such as notifications. Notifications are the events happening in the service that the provider is required to tell us about. We used this information to plan what areas we were going to focus on during our inspection.

We spoke with nine people living at the service. We also observed the care and support provided to people and the interaction between staff and people throughout our inspection.

We spoke with the registered manager, the area manager and four other members of staff.

We looked at a range of records which included five people's care records, three staff recruitment files, training records and records in relation to the safe management of the service, such as audits and environmental checks.

Updated 23 September 2017

This inspection took place on 3 July 2017 and was unannounced.

Belamacanda provides accommodation and personal care for up to 22 people who may have physical or mental health needs. At the time of our inspection there were nineteen people living in the service.

At the last inspection, the service was rated good and at this inspection we found the service remains good.

There was a registered manager in post. 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 received a safe service and were protected from the risk of harm. There were enough staff who had been safely recruited to help keep people safe and to meet their needs. Medicines management was good and people received their medicines as prescribed.

The service supported people to have as much choice and control over their lives in the least restrictive way possible.

People had a choice of balanced, healthy and nutritious meals and were able to eat their meal where and when they wanted. Nutritional assessments were in place which identified what food and drink people needed to keep them well and what they liked to eat.

People received support that was personalised to them and met their individual needs and wishes. They ere encouraged to be as independent as possible. Additional support was provided respectfully. Staff respected people's privacy and dignity and interacted with people in a caring, compassionate and professional manner.

Care plans had been regularly reviewed to reflect people’s changing needs and people were involved in the review process. People were encouraged and supported to participate in a range of activities to suit their individual interests. Complaints were dealt with appropriately in a timely way.

People were positive about the quality of the service. The registered manager and the staff team were committed to providing people with good quality person centred care that met their needs and preferences.

There were effective systems in place to monitor the quality of the service and to drive improvements.

Further information is in the detailed findings below.