We carried out a review of the data available to us about Montague Road Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Montague Road Care Home, you can give feedback on this service.
Montague Road Nursing Home is a residential care home providing personal and nursing care to 24 people living with dementia and/or mental health needs at the time of the inspection. The service can support up to 24 people in one adapted building. There are three units in the service with eight people living on each.
People’s experience of using this service and what we found
People received extremely responsive care which was tailor made to meet their individual needs and preferences. People were at the heart of the service and their choices and self-determination were consistently upheld and supported. The care people received at the end of their lives was in line with the choices they made.
People were supported to take part in activities which were meaningful and reduced the risks of isolation. The service used best practice examples and used appropriate therapies that enabled people to express emotions through the use of music and animals and doll therapy where appropriate.
The service was extremely well-led. People and staff were truly involved in the running of the service and consistently consulted. The systems to monitor and assess the service were robust and supported the provider to continuously improve the service.
People shared positive relationships with the staff working in the service. There were enough staff to provide support to people when needed. Staff recruitment was done safely.
People were provided with a safe service, the risks in their daily living were assessed and systems in place to reduce them.
Staff received training to meet people’s needs effectively.
People received care and support to ensure good health and nutrition.
The service was clean and hygienic, and the environment was suitable for the people living there.
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.
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 24 January 2017). The key questions effective, caring, responsive and well-led were rated good and safe rated requires improvement. There were no breaches of Regulation.
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Montague Road Nursing Home on our website at www.cqc.org.uk.
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.
The home did not have a registered manager at the time of this inspection; however, the manager had started the process by submitting an application to register with CQC. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
We found clinical equipment such as a suction machine had not been checked regularly to ensure that it was clean and ready for use in an emergency. Creams and pumps that were open did not all have the person’s name and dates of opening and expiry written on them. We found Pressure relieving mattresses had not always been accurately set for the person’s weight.
People’s medicines were managed safely by staff that had been trained in the safe administration of medicines.
People felt safe living at Montague Nursing Home. Staff understood how to keep people safe and risks to people's safety and well-being were identified and managed. The home was calm and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff.
Recruitment processes were robust and helped to ensure that staff employed to deliver care and support for people were of a good character and suitable to meet people`s needs safely. There were sufficient numbers of staff available to meet people’s individual needs.
Staff received regular one to one supervision from a member of the management team which made them feel supported and valued. People received the support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to external health professionals when needed.
People and their relatives told us that their family members were kept safe and well cared for when they were being supported by the service. Staff had received training in how to safeguard people from potential abuse and knew how to identify the risks associated with abuse. Potential risks to people’s health and well-being were identified by staff and they knew how to manage these effectively and protect people from harm. Risk assessments were completed to keep people safe.
People and their relatives complimented the staff team for being kind and caring. Staff were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.
The provider had arrangements to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise anything that concerned them with staff or management and were satisfied that they would be listened to.
People told us they felt the staff provided care and support in a way that promoted their dignity and respected their privacy. Staff were knowledgeable about people`s preferred routines and delivered care that was individualised to the person they were supporting.
People and their relatives were positive about the staff and the management of the service. The manager regularly audited the service and any improvements identified were actioned.