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Inspection Summary


Overall summary & rating

Good

Updated 10 January 2019

This inspection took place on the 24 and 31 October 2018. Both visits were unannounced.

Montgomery is a ‘care home’. 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.

Montgomery Care Home accommodates 24 older people in one adapted building

At the previous inspection we found a breach of Regulations 10,11,12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because people’s rights to respect and dignity were not always respected; systems were not in place to ensure that people’s consent was sought appropriately; people’s care and treatment was not always planned effectively and audit systems were not in place or always effective. During this inspection we found that improvements had been made and their registered provider was no longer in breach of these Regulations.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when, to improve the key questions was the service safe; effective; caring; responsive and well-led to at least good.

We have made a recommendation that the registered provider reviews and monitors the weekly quality assurance checks in place to ensure that they are effective and consistent.

Systems were in place to ensure that people's medicines were safely stored and to help ensure that people received their medicines when they needed them.

People’s living environment was clean and tidy and procedures and equipment were in place to minimise the spread of infection.

Safe recruitment procedures were in place to help ensure that only suitable applicants were employed to support people.

Procedures were in place in relation to the Mental Capacity Act 2005. Records demonstrated that where required, applications had been made on behalf of people in relation to Deprivation of Liberty Safeguards.

People had freedom of movement around the service and told us that they had a choice what time they went to bed and got up.

Sufficient staff were on duty to meet people’s needs and wishes.

People were supported by staff who had received training for their role.

People were encouraged to maintain their independence wherever possible.

People using the service felt safe and told us that they knew who to speak with if they had any concerns.

A complaints procedure was in place and people and their family members knew who they would speak to if they wanted to raise a concern or complaint.

People were supported by staff who knew them well.

People had a choice of menu during mealtimes and regular drinks were available; they were happy with the food they were served.

At the time of this inspection there was a manager in post, however, they had not registered with the Care Quality Commission. 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.

You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Good

Updated 10 January 2019

The service was safe.

People felt safe living at the service.

Procedures and equipment were in place to minimise the risk of infection.

Safe recruitment procedures were in place.

Systems were in place for the safe management of medicines.

Effective

Good

Updated 10 January 2019

The service was effective.

People�s rights were maintained under the Mental Capacity Act.

People had access to health care professionals.

People�s dietary requirements were met.

Caring

Good

Updated 10 January 2019

The service was caring.

People had freedom of movement around the service.

People felt that staff were caring towards them.

Staff understood the needs of the people they supported.

Responsive

Good

Updated 10 January 2019

The service was responsive.

Each person had an individual care plan.

People had access to activities.

People were aware of whom to speak to if they had any concerns.

People had access to a complaints procedure.

Well-led

Requires improvement

Updated 10 January 2019

The service was not always well-led.

No registered manager was in post.

improvements were needed as to the recording of monitoring checks carried out within the service.

The registered provider informed the Care Quality Commission of specific events.

A system was in place to gather the views of people and their family members about the service.