About the serviceBelvoir Lodge is a residential care home providing personal care to up to five younger adults in one adapted building. Everyone living at Belvoir Lodge had learning disabilities and physical disabilities. At the time of our inspection there were five people living there. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People living at Belvoir Lodge were cared for safely. Staff received training in safeguarding and felt confident to raise concerns. People’s health needs were assessed, and any risks associated with their conditions documented. These were reviewed regularly and updated to reflect their current needs. Risks associated with the service environment were assessed and mitigated. There were enough staff to keep people safe. People received their prescribed medicines safely and were protected from the risk of infections.
People's needs and choices were assessed in line with current legislation and guidance in a way that helped to prevent discrimination. Staff were given enough training and support to meet people’s needs well. People were supported and encouraged to have a varied diet that gave them sufficient to eat and drink. The provider had taken steps to ensure the environment was suitable for people's needs. People were supported by staff to access healthcare services when required. 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.
People and relatives were involved in planning and reviewing their care. Staff we spoke with were knowledgeable about people’s likes and dislikes, how they preferred to be supported, and their personal histories. People were supported to spend private time with their friends and family. Staff respected people's right to confidentiality.
People were supported to take part in activities they enjoyed throughout the day and week. The provider had identified where there were specific cultural or faith needs with people and relatives. Staff knew how to support people to meet these needs. The provider had taken steps to ensure people were given information about their personal care and support in ways they understood, and staff were familiar with people’s preferred ways of communication.
The provider undertook audits of all aspects of the service to review the quality of care, and identify areas where improvements were needed. The provider notified CQC of significant events as they are legally required to do. Staff said they felt well supported by the manager and their colleagues. Staff we spoke with had clear views about their role in supporting people to live the full lives they wanted. The provider had a clear action plan for improving the quality of care at Belvoir Lodge. The manager and provider worked in partnership with outside agencies to improve people’s care.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 29 October 2016). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.