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Mount Pleasant Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 November 2019

Mount Pleasant is a residential care home that was providing personal and nursing care to 21 older people at the time of the inspection. The service can support up to 25 people in one adapted building. Some of the people accommodated were living with dementia.

People’s experience of using this service and what we found

We have identified shortfalls in relation to the governance of the service at the last six consecutive inspections. The provider has been in continuous breach of regulations since June 2015.

The systems in place to monitor the quality of the service were not effective and had not highlighted the concerns identified during this inspection. The management and administration of some medicines was not robust and increased the risk that people would not receive them safely. Records relating to people's care did not always demonstrate their needs were being met and the provider did not always follow good practice infection control guidance.

People were treated with dignity and respect by kind and caring staff that knew them well. Mealtimes were relaxed and informal. People's dietary needs and preferences were catered for and people enjoyed the homemade food on offer. People enjoyed the entertainers that visited the service and the activities provided.

People's needs had been assessed and they were supported to access the support of healthcare professionals when needed.

People and their relatives were happy with the care people received. They had the opportunity to give their views in a number of ways, felt listened to and able to raise any concerns they may have.

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.

There were sufficient numbers of suitably qualified and safely recruited staff on duty to meet people's needs.

The registered manager, nominated individual and staff knew people well and had a good understanding of their needs. People and staff felt management were open and approachable.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update: The last rating for this service was requires improvement (published 24 October 2018) and there was one breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection some improvements had been made but other shortfalls were identified so the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last six consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the completion of records and the governance of the service.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 8 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 November 2019

The service was caring.

Details are in our caring findings below.

Well-led

Inadequate

Updated 8 November 2019

The service was not well-led.

Details are in our well-led findings below.