- Care home
Archived: The Mount Residential Home
We served a Notice of Decision to cancel the providers registration - Mountfield Care home Limited on 26 August 2025 for failing to meet the regulations relating to safe care and treatment, risk management, consent, maintaining peoples nutrition and hydration, and management and oversight of governance and quality assurance systems at The Mount Residential Home.
Assessment report published 6 October 2025
Contents
Ratings
Our view of the service
Date of Assessment: 10 June to 26 June 2025. The site visits took place on 10, 11, 16, 17 and 26 June 2025. The inspection was prompted due to concerns shared with CQC about the safety and well-being of people at the service. We also followed up on the previous breaches of regulations issued following our last inspection. The Mount Residential Home is a residential care home providing support to older people and people who live with dementia for up to 18 people. At the time of our inspection there were 15 people living at the service.
Since our last inspection we found the service had not made the required improvements to meet the breaches of regulations and improve the standard of care provided to people. We found there were 3 continued breaches in relation to consent, risk management and good governance. We also identified new breaches in relation to person centred care, nutrition and hydration.
The provider did not ensure people’s individual needs and preferences were met. Systems were not in place to ensure people consented to restrictions placed upon them. Risks to people were not managed safely and lessons were not learnt to reduce future risks to people. Staff had insufficient guidance for the management of people’s known health conditions and risks. People’s individual nutrition and hydration needs were not always managed effectively, and they were not fully supported to make meal choices. The provider had failed to take timely action to ensure the environment was safe in the event of a fire. The provider had not ensured staff received training and support to enable them to have the skills and knowledge for their role. The provider did not always follow safe recruitment practices.
The provider’s quality assurance and auditing systems were inconsistent and not effective and had failed to identify the issues highlighted during this inspection. Systems to ensure care was provided safely and appropriately were not always robust.
In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.
This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
Whilst people and relatives were positive about the quality of care, this did not reflect the evidence we found during this assessment.
Most people and relatives told us they were happy about the way staff supported them. People said they felt safe, and relatives were confident staff treated people with dignity and respect and safely. Relatives confirmed staff kept them informed about their relative’s wellbeing and when any incidents had occurred. However, people and relatives told us they were not always involved in the planning or review of their care and had not seen a care plan.
Feedback on the service had recently been gained from some people or their relatives via questionnaires. However, gaining feedback about the service was not consistently sought. Most people said they received care from staff who treated them as individuals and they had regular care staff, who were available when needed.
Most people and their relatives felt the activities and overall level of stimulation for people needed a lot of improvement, particularly for those who stayed in their rooms. Some relatives told us more choices of food could be provided as people appeared to have the same food offered. Some people and relatives told us the home environment needed improving as it looked ‘tired and old’.
People and relatives felt able to complain and most felt they would be listened to. Some relatives told us there has been many management changes which had impacted on the way the home was managed. Some relatives felt the previous manager was not approachable and did not manage the home well. Relatives felt more confident with the way the home was being managed since the previous manager’s departure. Relatives and people knew who the provider was and told us the provider was in the home most days. Relatives told us the new manager recently recruited had contacted them and introduced themselves and they were keen to see what improvements they made.