Mountview

Updated 10 January 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook this unannounced comprehensive inspection on 12 December 2017 and it was carried out by an inspector.

Before the inspection, we reviewed information we held about the service including statutory notifications sent to us about incidents and events that occurred at the service. The provider completed a Provider Information Return (PIR). This is a form that requires providers to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During our inspection we looked at four people’s care records, the medicine management records for the seven people using the service; and five staff files including their recruitment and supervision records. We also reviewed other records relating to the management of the service such as health and safety, complaints and quality assurance. We spoke with three people who used the service, the assistant manager, three care staff and , the team leader and two visiting healthcare professionals. We also undertook general observations of how people were supported and received their care in the service. After the inspection we spoke with one relative to obtain their views of the service.

Updated 10 January 2018

This unannounced inspection of Mountview Care Home took place on 12 December 2017. Mountview 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. Mountview care home accommodates seven people in one adapted building.

At the last inspection of Mountview 21 December 2015, the service was rated Good. At this inspection we found the service remained Good.

Mountview had a registered manager in post. 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.

People told us that they felt safe in the service. Staff had been trained in safeguarding people from abuse. Staff demonstrated that they understood the signs of abuse and how to report any concerns in line with the provider’s procedures. People’s needs were met by sufficient number of staff who had undergone safe recruitment checks. Risks were assessed and management plans were developed to mitigate risks identified.

Medicines were administered to people appropriately, clear records were maintained and medicines were stored safely. The environment was safe, clean and hygienic. Staff followed good infection control procedures. Staff kept record of incidents. These were reviewed by the registered manager and actions were discussed with staff so that lessons can be learned.

People’s individual care needs had been assessed and their support planned with input from relevant professionals where required to ensure they are met. Regularly reviews took place to ensure support delivered to people continue to meet their needs.

Staff were trained, supervised and had the skills and knowledge to meet the needs of people. People received food and drinks to meet their nutritional and dietary needs. Staff worked effectively with health and social care professionals. People received support to attend health appointments and to maintain good health. The service had systems in place to enable smooth transition when people moved between services. There were suitable facilities and adaptations available for people to use.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff understood their responsibility under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

Staff understood people’s needs and treated them with respect, kindness and dignity. Staff communicated with people in the manner they understood. Staff supported people to express their views. People’s relatives were involved in their care planning and their views respected.

People received care tailored to meet their requirements and preferences. People were encouraged to follow their interests and develop daily living skills. People were encouraged to be as independent as possible. The service provided information to people in an accessible format. People were supported to maintain their religious and cultural values. People knew how to make a complaint if they were unhappy with the service.

The service sought feedback from people and their relatives and used them to improve the service. Staff received the support, direction and leadership they needed. There were systems in place to monitor and assess the quality of service provided. The service worked in partnership with external organisations to develop and improve the service.