Mountview

Updated 27 July 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 1 inspector and 1 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

Mountview 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. Mountview is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We contacted various health and social care professionals, including the local authority commissioners and safeguarding teams, Healthwatch, the local fire service, the local area infection control team, and the medicine optimisation team. 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 (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 met every person using the service and either spoke to them directly or observed their interactions with staff. We communicated with 10 staff team during the visit and contacted more via email. This included, the registered manager, the deputy manager, the operations support manager and support staff. We were disappointed that no staff took the opportunity to feedback to us via the email we sent.

We spoke with 6 relatives to seek their feedback on the care and support provided to their loved ones. We spoke with a visiting GP. We also contacted 7 healthcare professionals, including care managers, social workers, community nurse teams, occupational therapists. specialist learning disability nurse teams, and the speech and language team.

We reviewed a range of records. This included 2 people’s care records and every person’s medication records. We looked at 4 staff files in relation to recruitment, support, and training. We also reviewed a variety of records relating to the management of the service, including quality assurance and policies and procedures.

Updated 27 July 2023

About the service

Mountview is a care home providing residential care for up to 10 adults with learning disabilities or other complex needs. At the time of the inspection there were 9 people living at the home.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

The model of care and setting maximised people’s choice, control and independence. People were 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 supported with their medicines and able to take part in activities in their local area. Risk which was identified was recorded and monitored to keep people safe. The home was kept clean and tidy and staff followed infection control procedures.

Right care:

People received care which was person centred and promoted their dignity, privacy and human rights. Staff were kind and compassionate. Each person had an individual care plan detailing their preferences and how to support them if they were in distress. People also had access to a range of health and social care professionals. One healthcare professional said, “The staff responded to my request to work on someone’s mouthcare, gradually improving this step by step.”

People were kept safe by suitably recruited staff who had received the necessary training to perform their roles well. A recent safeguarding concern had been reported regarding 2 staff. This had been dealt with appropriately by the registered manager and provider.

Right culture:

The ethos, values, attitudes and behaviours of leaders and support staff ensured people using the service led confident, inclusive and empowered lives. The environment was welcoming. People, where possible, and those important to them, including advocates, were involved in planning their care and support. People’s care and the need to keep them happy and healthy was the priority for staff. Quality assurance checks were in place to continually review the service provided and make any changes as necessary.

We received a few negative comments regarding communication which the registered manager was made aware of to address.

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 (published 6 July 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service and to follow up on recent concerns we had received about the care and treatment people received at the home.

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.

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 remained 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 Mountview 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.