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Montana Residential Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 7 July 2018

Montana Residential Home provides accommodation and personal care for up to 19 older people some of whom may be living with dementia. At the time of our inspection there were 16 people using the service. The service is set over one floor and is situated in the village of Great Barton on the edge of the town of Bury St Edmunds in Suffolk.

Montana Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This comprehensive inspection took place on 18 May 2018 and was unannounced. The provider, Grace and Compassion Benedictines, is a Catholic organisation and the home is connected to a convent however all are welcomed regardless of their faith or background. The staff team was made up of Nuns (Sisters with the Grace and Compassion Benedictine) and 'lay' staff. When we refer to care staff in the report we are referring to both the Nuns and the care staff.

At our last comprehensive inspection in July 2015 we rated the home as Outstanding in the key question of caring and Good in the four other questions that we ask. In line with our methodology we rated the home as Good overall. At this inspection we found that the home had developed further. We have rated the service Outstanding in caring, responsive and well-led making the overall rating for the service Outstanding.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with 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.

The registered manager was highly visible and approachable and enabled and empowered staff to deliver high quality care and to seek advice from her if needed. The registered manager had excellent knowledge of the home and the people living there in order to ensure that people had their preferences met. Staff enjoyed working at the home and spoke positively about the registered manager and their strong leadership style and their oversight of the home. Staff displayed they delivered exceptional care, compassion and empathy that showed all people mattered and were important. People who used the service commended the outstanding quality of care they received.

People received exceptionally personalised care and support which they were in control of. Activities were planned by staff and volunteers who worked closely with people to establish their individual and unique preferences. There was an exceptionally strong ethos within the home of treating people as individuals and with respect. People were at the forefront of their care. Information was given to people about how to raise any concerns they may have and where concerns were raised these were dealt with speedily and in detail. People's individual religious and spiritual needs were recognised and met. The care people received at the end of their lives was exemplary. Staff were passionate about providing the best, most compassionate and respectful end of life care to people and demonstrated that all people who lived and died at the home mattered and were important

People's medicines were managed safely and people received their medicines as prescribed. People received support and treatment from health professionals when needed.

There were sufficient staff to meet people’s needs in a timely and responsive manner. Staff were provided with regular training and were supported by their colleagues and the registered manager to do their jobs effectively. Staff were provided with effective support when they started work at the home. New staff received an induction to the home and training that gave them the knowledge and skills to meet people's needs effectively.

People enjoyed the food provided and staff, including the cook, demonstrated a good knowledge of people's dietary requirements.

Inspection areas

Safe

Good

Updated 7 July 2018

The service was safe

Risks to people's individual health and wellbeing were identified and care was planned to minimise the risks.

There were suitable and sufficient care staff to promptly give people all of the care they needed and requested.

People were supported by staff that had been recruited safely with appropriate pre-employment checks.

People received their medicines safely and as prescribed.

Effective

Good

Updated 7 July 2018

The service was effective

Staff completed training to ensure they had the right skills and knowledge to support people effectively.

People were supported to eat and drink enough to maintain a balanced diet.

People had access to healthcare professionals to maintain their health and wellbeing.

Suitable arrangements had been made to obtain consent to care and treatment in line with legislation and guidance.

Caring

Outstanding

Updated 7 July 2018

The service was very caring

Staff treated people with compassion, kindness, dignity and respect.

People's privacy was consistently respected and promoted.

People were supported and encouraged to express their views and be actively involved in making decisions about their care and support.

Responsive

Outstanding

Updated 7 July 2018

The service was extremely responsive.

People received highly personalised care that was responsive to their needs.

People were offered meaningful and person centred choices of activities both in the home and the wider community.

There was a very robust system in place to manage complaints. People and their relatives were confident any complaints would be listened to and taken seriously and action taken where needed.

People received the end of life care and support which met their individual needs and preferences.

Well-led

Outstanding

Updated 7 July 2018

The service was very well-led

Excellent leadership was demonstrated.

The registered manager provided direct leadership which inspired staff to provide a very high quality of care.

Detailed quality assurance systems monitored people�s safety and welfare on a continuous basis and supported the delivery of outstanding care to people.

The service worked in partnership with other agencies to promote the delivery of joined-up care.