Mowbray Nursing Home

Updated 7 November 2019

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 Care Act 2014.

Inspection team

One inspector and an Expert by Experience carried out this inspection. 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

Mowbray Nursing Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at the information we had received about the service since the last inspection. We sought feedback from the local authority, the clinical commissioning group and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spent time with people who lived at the home and spoke with 15 people and five relatives about their experience of the care provided. We spoke with a range of staff including a nurse, two care staff, domestic staff and head of domestic staff team and activities coordinator. This was to obtain the staff teams views of their roles and working at the service. We also spoke with the registered manager, area manager and provider about managing the service provided.

We looked at a range of records. This included three people’s care documentation and multiple medication records. In addition, we looked at a variety of records about the management of the service, including meetings with people, relatives and staff, and the arrangements for monitoring the quality of the service provided within the home.

After the inspection

We looked at the additional information sent to us by the registered manager.

Updated 7 November 2019

About the service

Mowbray Nursing Home is a care home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 39 people.

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

People told us they felt safe living at the home. People’s safety was promoted by the registered manager and staff who understood their responsibilities to identify and report potential harm and abuse. The management team consistently reviewed accidents and incidents to reduce the possibility of people being harmed. Risks to people’s health and wellbeing were known by staff and well managed.

People’s medicines were managed, stored and administered by staff who had received the training to promote safe practices. The registered manager and staff maintained close links with external health and social care professionals to promote people’s welfare.

People were supported by staff who had the knowledge about how to prevent and reduce cross infections. People were complimentary about how the home environment was kept clean and free from unpleasant odours.

People and staff said there were sufficient numbers of staff available to meet people’s needs without unreasonable time delays. The registered manager kept staffing levels under review alongside people’s individual needs to reduce risks to people’s wellbeing. The provider’s recruitment procedures were followed, and all the appropriate checks had been completed on new staff’s suitability to work at the home.

Staff understood people’s needs and abilities because they read care plans and received an induction where they worked alongside experienced staff until they knew people well. Staff received training and support to develop their skills and knowledge. Staff had opportunities to reflect on their practice and learn from other staff, so people’s needs were effectively met and promoted.

People 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.

People were offered meals and drinks which were suitable for their individual needs and met their preferences to keep people healthy and well. Staff made sure people obtained advice and support from health professionals to maintain and improve their health or when their needs changed.

The provider and management team continued to make ongoing improvements to the home environment and facilities to meet people’s needs. People enjoyed spending time in their rooms which they had furnished with personal objects to make these feel homely.

People were cared for by staff who knew them well and who they described as caring. Staff knew about people’s individual preferences for care. Staff respected people’s dignity and privacy and responded to people’s likes and dislikes to support people in following their own interests.

People knew how to raise any concerns and who they should report any concerns to. The registered manager responded to people’s complaints and took action to improve care as a result of complaints.

The registered manager and provider were aware of their responsibilities and had developed checking arrangements to monitor the quality of the service people received. The management team were continually looking at how they could provide better care for people. In doing so they valued people’s views about the services provided and used these to drive through improvements and further develop services people received.

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 this service was good (report published 12 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mowbray Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.