15 May 2019
During a routine inspection
230 Mountnessing Road is a nursing home for up to eight people with learning disabilities and complex health needs. It is a bungalow set in a residential area of Billericay, Essex.
People’s experience of using this service:
At our last inspection the service was rated good. Historically the service had been very settled, however the months leading up to our inspection had been affected by the absence of the registered manager. The provider had arranged good support from more experienced managers for the deputy manager as they were new in post. The provider had also used audits and quality checks during this period to improve the quality and safety of the care people received. Many of the staff had been at the service for a long time so the impact to people of the changes was minimal.
People at the service had complex needs and could not always communicate verbally. However, staff had the skills to communicate with them and to recognise any changes in their health and wellbeing. Risks to people’s safety were well managed. There were qualified nurses at the service who worked with staff and external professionals to support people to remain healthy. There was detailed guidance to staff about people’s needs.
Staff were very caring and compassionate and promoted a family-like atmosphere where people were treated with dignity. Staff arranged activities to support people to remain stimulated. The provider was working with staff to improve these activities and to develop a culture where people were encouraged to be more independent.
Staff offered people choice about day-to-day decisions. 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 promoted this practice.
The size of service was only marginally larger than recommendations within current best practice guidance. This guidance promotes people living in a small domestic style property to enable them to have the opportunity of living a full life. Staff told us that in the past the service had a more institutionalised feel but that this had changed, and the property was now much homelier.
Rating at last inspection:
Good. The last report was published on 4 November 2016.
Why we inspected:
This was a planned inspection to check that this service remained Good.
Follow up:
We will continue to monitor this service to ensure people receive care which meets their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.