This inspection took place on 21 December 2015 and was unannounced. At our previous inspection in November 2013, we found the provider was meeting the regulations in relation to the outcomes we inspected. Mountview is a small residential care home that accommodates up to eight people with learning and physical disabilities.
There were appropriate policies and procedures in place that ensured people were kept safe from harm. Staff received training in safeguarding adults and was aware of the potential types of abuse that could occur and the actions they should take if they had any concerns.
Incidents and accidents involving the safety of people using the service were recorded and acted upon and there were arrangements in place to manage foreseeable emergencies. Assessments were conducted to assess levels of risk to people’s physical and mental health and care plans contained guidance for staff that would protect people from harm by minimising risks.
There were sufficient numbers of staff on duty to ensure people were kept safe and their needs were met in a timely manner. There were safe recruitment practices in place and appropriate recruitment checks were conducted before staff started work so that people were cared for and supported by staff that were suitable for their role. Medicines were stored, managed and administered safely.
People were supported by staff that had appropriate skills and knowledge to meet their needs. Staff were supported through regular supervision, appraisals of their performance and by receiving appropriate training.
There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves.
People were supported to eat and drink suitable healthy foods and sufficient amounts to meet their needs and ensure well-being. People were supported to maintain good physical and mental health and had access to health and social care professionals when required.
Staff spoke with people in a friendly and respectful manner and care plans contained guidance for staff on how best to communicate with people. People were supported to maintain relationships with relatives and friends. People were provided with appropriate information that met their needs and were supported to understand the care and support choices available to them.
People received care and treatment in accordance with their identified needs and wishes. Care plans detailed people’s physical and mental health care needs, risks and preferences and demonstrated people’s involvement in the assessment and care planning process.
People’s diverse needs, independence and human rights were supported, promoted and respected. People were supported to seek employment, education and to engage in a range of activities that met their needs and reflected their interests. People and relatives told us they knew who to speak with if they had any concerns.
There was registered manager in place. 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. There were systems in place to evaluate and monitor the quality of the service provided. The provider took account of the views of people using the service through annual resident surveys.