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Inspection Summary


Overall summary & rating

Good

Updated 20 July 2018

We undertook an unannounced inspection of Quarry Mount Care Home on 5 April 2018.

Quarry Mount is a care home, which provides accommodation and personal care for up to 30 people. 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. On the day of the inspection 26 people were being supported.

Accommodation was located on the ground, first and second floor of the building and there was a bungalow located alongside the rear garden. The bungalow accommodated two people, who are able to live more independently than those in the main home.

There was a registered manager in post. 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 previous inspection in January 2017 the service was rated as Requires Improvement.

At this inspection we found the service had made improvements and was rated as Good overall.

On the day of the inspection Quarry Mount Care Home was experiencing a large number of cases of influenza affecting people and staff. In spite of this we found that care was continuing to be delivered appropriately, and staff were warm, welcoming and supportive of the inspection process.

People and their relatives complimented the compassionate nature of staff and told us staff were caring. On the day of our inspection we saw examples of kind and compassionate interactions that demonstrated staff knew people well. People's dignity, privacy and confidentiality were respected.

People told us they were safe. Staff knew what to do if they had safeguarding concerns and were aware of the provider's whistle blowing policy. People were supported by sufficient staff to keep them safe and the provider ensured safe recruitment practices were followed. Staff training was ongoing and the records confirmed staff received supervisions.

People's care plans contained risk assessments that covered areas such as falls, mobility or nutrition. Where people were at risk, their records outlined management plans on how to keep them safe.

People's medicines were stored securely and administered safely by trained staff.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and report on what we find. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to maintain good health and access health professionals when required.

People were complimentary about the food, and they were provided with choices at every meal.

People were assessed prior to coming to live at Quarry Mount Care Home and people told us staff knew them well. People's care files gave details of the level of support required and people's wishes and choices. These also contained information about people's personal histories, medical information, their likes and dislikes.

Information on how to complain was available to people and the provider had a complaints policy in place.

The registered manager ensured various audits were being carried out, where improvements were identified we found evidence that these had been carried out.

We saw that the service had a team that worked cohesively, supported each other and were well-supported by the registered manager. All staff we spoke to were committed to putting the needs of people first and providing a homely environment.

Inspection areas

Safe

Good

Updated 20 July 2018

The service was safe.

There were sufficient staff deployed to meet people’s needs.

People told us they felt safe. Staff knew how to identify and raise concerns if they suspected abuse.

Risks to people were managed and assessments were in place to reduce the risk and keep people safe.

People received their medicine safely and as prescribed

Effective

Good

Updated 20 July 2018

The service was effective.

People were supported by staff that had the skills, training and knowledge to support them effectively.

Staff received support and supervision and had access to further training and development.

Staff had been trained in the Mental Capacity Act 2005 (MCA) and understood and applied its principles.

People told us they enjoyed the food and were able to make choices about what they had to eat

People received prompt access to healthcare

Caring

Good

Updated 20 July 2018

The service was caring.

Staff were kind, compassionate and respectful and treated people and their relatives with dignity and respect.

Staff understood people's individual needs and people were cared for in a kind, caring and respectful way..

People were supported to maintain their independence and were given the information, support and equipment they needed.

Responsive

Good

Updated 20 July 2018

The service was responsive.

People received activities and stimulation which met their needs, and they were involved in deciding what activities took place.

People's records were up to date and reflected their needs, wishes and interests.

People's needs were assessed and personalised care plans were written to identify how people's needs would be met.

People's wishes about End of Life care were documented

Well-led

Good

Updated 20 July 2018

The service was well led.

The registered manager had developed positive relationships with the staff team, relatives and people who lived at the service. The service had systems in place to monitor the quality of service.

People knew the management structure of the service and spoke about the managers with confidence.

The quality of the service was regularly reviewed. The registered manager continually strived to improve the quality of service offered.