This inspection took place on the 12 and 13 June 2018 and the first day was unannounced. This was the first inspection of Belong Morris Feinmann since their registration with the Care Quality Commission in June 2016.

Belong Morris Feinmann is jointly registered as a ‘care home’ (known as the care village) and a domiciliary care agency (known as Belong at Home).

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Belong Morris Feinmann is a purpose-built care village. It can accommodate 74 people across six households on three floors, each of which have separate adapted facilities. At the time of our inspection three households were open, with a total of 33 people living at the care village. Each household had a mix of people who needed nursing care and those who needed residential support.

The care village also contains a bistro on the ground floor, a synagogue, ‘The Venue’ which is used for events and a small gym, all of which can be used by the local community. The gym contained ‘Silverfit’ technology which is specifically designed for older people. On the top floor are 13 separate apartments, which are privately owned or rented.

Belong at Home provides personal care to people living in their own houses and flats in the community. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. Three people were being supported by Belong at Home at the time of our inspection.

This report covers both the care village and Belong at Home.

Two registered managers were in place at the service, one for the care village and one for Belong at Home. 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.

At the time of our inspection Belong Morris Feinmann were in the process of separating the care village and Belong at Home so they each had an individual CQC registration in future.

People and their relatives thought they were safe living at Belong Morris Feinmann and being supported by members of Belong at Home care staff. The staff said they enjoyed working for the service and felt very well supported by the registered managers, lead nurse and lead seniors.

People received their medicines as prescribed. The care village used an electronic medicine administration record (eMAR) system which prompted when medication was to be administered. Medication care plans gave guidance for when any medicines that were not routinely administered should be offered to people.

Belong at Home used paper MARs, which had been fully completed.

Person centred care plans and risk assessments were in place. These provided guidance and information about people’s support needs, their likes, dislikes and preferences and how to mitigate the identified risks.

The care village used an electronic care planning system called PCS. Staff were able to access people’s care plans and record the support provided through hand-held devices. The PCS system alerted staff when planned care tasks was required, for example if a person needed re-positioning. Where people might have behaviour that challenges, care plans gave details of potential triggers and behaviours. Two plans we saw gave guidance on how staff should support the person if they became agitated; however, a third plan did not provide full guidance for staff.

Belong at Home used paper care plans, which clearly identified the care and support tasks to be completed when staff visited. Staff wrote daily notes