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Mountside Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 28 February 2019

About the service:

Mountside Residential Care Home is registered to provide support to a maximum of 52 people and 47 people were living at the service at the time of our inspection. The service is intended for older people, who may be living with a physical disability, sensory impairment or a dementia type illness.

People’s experience of using this service:

People told us and we observed that they were safe and well cared for and their independence was encouraged and maintained. Comments included, “I feel safe, don’t think there is anywhere better,” and, “A nice clean and comfortable place to be.”

• The service had made improvements since our last inspection. However, whilst the provider had progressed quality assurance systems to review the support and care provided, there was a need to further embed and develop some areas of practice that the existing quality assurance systems had missed. This included ensuring that medicine errors and discrepancies were acted on and appropriate action taken. There were policies and procedures in place but these had not always been followed by staff. Care plan audits had not identified that one person did not have a care plan for the management of their diabetes despite the GP identifying their blood sugars were high.

• People were protected against avoidable harm, abuse, neglect and discrimination. The care they received was safe.

• People's risks were assessed and strategies put in place to mitigate the risks.

• Environmental risks were satisfactorily assessed and managed.

• Staff received improved supervision and training since our last inspection, which provided them with the knowledge and skills to perform the roles they were employed to do.

• People received their care and support from a staff team, that had a full understanding of people's care needs and the skills and knowledge to meet them.

• Staff were given an induction when they started and had access to a range of training to provide them with the level of skills and knowledge to deliver care efficiently.

• People and relatives provided consistently positive feedback about the care, staff and management. They said the service was safe, caring and well-led.

•Staff treated people with respect and kindness at all times and were passionate about providing a quality service that was person centred.

•People were encouraged to live a fulfilled life with activities of their

choosing and were supported to keep in contact with their families.

• People's care was now more person-centred. The care was designed to ensure people's independence was encouraged and maintained.

• People were involved in their care planning. End of life care planning and documentation required further development but this had been identified and work was on-going.

• There were positive changes to the management team. Improved audits and checks were put in place to ensure the service was well-governed.

• There was a happy workplace culture and staff we spoke with provided positive feedback.

The service met the characteristics for a rating of ‘Good’ in four key questions we inspected with the well-led question remaining ‘Requires Improvement.’ Therefore, our overall rating for the service after this inspection has improved to "Good".

More information is in our full report.

Rating at last inspection:

• The service was rated "requires improvement".

• Our previous inspection report was published on 14 August 2018.

Why we inspected:

• All services rated as ‘Requires improvement’ are re-inspected within one year of our prior inspection. This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received and the improvements made.

Follow up:

• We will continue to monitor intelligence we receive about the service until we return to visit as

per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 28 February 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 28 February 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 28 February 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 28 February 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 28 February 2019

The service was not always well-led

Details are in our Well-Led findings below.