Background to this inspection
Updated
3 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of 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.
Service and service type
Mountview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. CQC had received an application from the current manager to be registered at the time of our inspection. Registered managers and providers are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and six relatives about their experience of the care provided. We spoke with twelve members of staff including the regional manager, manager, care manager, senior care workers, care workers, the administrator, front of house and members of the kitchen and domestic staff. We also spoke with three visiting professionals.
We reviewed a range of records. This included two people’s care records and multiple medicines records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and received assurances the new call bell system was operational following its installation during our inspection.
Updated
3 April 2020
About the service
Mountview Care Home is a residential care home providing personal and nursing care to 50 people aged 65 and over at the time of the inspection. The service can support up to 66 people.
People’s experience of using this service and what we found
There were enough staff to meet people’s care and support needs. People told us staffing numbers had improved.
People were supported by experienced, well trained and safely recruited staff who received an induction to their role when they started working at the service.
People received safe care and were protected from the risk of harm and abuse. Medicines were safely managed, and systems were in place to control and prevent the spread of infection. Risks associated with people’s care had been assessed and were managed well.
People were supported by staff who were kind and considerate. Staff knew people and treated them with dignity and respect.
People were supported with enough food and drink to maintain their health and well-being, and staff monitored people’s health needs closely ensuring professional guidance was followed.
People’s care needs were assessed before they moved to the service and they were involved with planning their care. Care plans were mostly detailed and supported staff to provide personalised care.
Visitors were welcomed to the service and their views considered and respected.
The service was warm, welcoming and held a community atmosphere. People were comfortable in their surroundings, had access to activities and opportunity to socialise both in and out of the service.
People and staff felt comfortable raising concerns about the quality of the service and were complimentary of the recent improvements made.
There were systems in place to monitor the quality of the service and actions were taken, and improvements were made when required. The manager was supported by the provider who took an active role in the service, and action was taken, and lessons learned when things went wrong to improve safety across the service.
The service had plans to continually improve the service people, relatives and staff.
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 requires improvement (published 06 March 2019).
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.