Background to this inspection
Updated
15 March 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Mountbatten Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mountbatten Nursing Home is a care home with nursing care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is not required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
The provider was responsible for the day to day running of the home. A clinical lead oversaw the nursing care element of the care provided to people.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at the information we had received from and about the service.
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with 11 people and 2 visiting relatives. We also spoke with 5 members of staff and the provider. We carried out general observations in communal areas.
We looked at a variety of records which related to the running of the home and people’s personal care. These included health and safety records, a sample of medicine administration records, in house audits and 3 care and support plans.
Updated
15 March 2023
About the service
Mountbatten Nursing Home is a care home providing personal and nursing care. The home is registered to provide care and accommodation to up to 30 people. The home specialises in the care of people who have general nursing needs. At the time of the inspection there were 28 people living at the home.
People’s experience of using this service and what we found
People felt safe and well cared for at Mountbatten Nursing Home.
There were adequate numbers of experienced and well-trained staff to keep people safe and to meet their needs. People told us staff responded promptly to any requests for assistance.
People received their medicines safely from trained nurses and senior staff who had received specific training. People told us they got the right medicines at the right time.
People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Risk assessments were carried out to make sure people received their care and support with minimum risks to themselves and others. The staff respected people’s rights to live as they chose if they had the mental capacity to understand possible risks.
The provider managed the day to day running of the home and there was a clinical lead who monitored and addressed people’s healthcare needs.
There were effective systems to identify shortfalls in the service and to plan improvements.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability. We found that staff were working within the spirit of this guidance.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
The last rating for the service was good. (Published 30 November 2017.)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We undertook a focused inspection to review the key questions of safe and well led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has not changed from Good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mountbatten Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.