Background to this inspection
Updated
4 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) 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.
We received information of concern about infection control and prevention measures at this service and if people were safe, recruitment procedures were in place and if the service was well-led. This was a targeted inspection looking at the infection control and prevention measures the provider has in place, safeguarding arrangements, recruitment records and the governance arrangements.
This inspection took place on 18 December 2020 and was announced. One inspector undertook this inspection.
Updated
4 February 2021
About the service: Mount Elton is a nursing home providing personal and nursing care to 21 people aged 65 and over at the time of the inspection. The service can support up to 24 people.
People’s experience of using this service:
Medicines records were not always accurate and up to date and two medicines were out of date. Guidelines were not always in place for topical creams. People were not always supported by staff who had checks undertaken prior to starting within the service or a risk assessment. The environment was not always safe, due to windows opening beyond the recommended safety guidelines, radiators that were not covered or risk assessed when they posed a risk of someone coming into prolonged contact with them. The sluice room which had chemicals within it was not securely locked.
The provider’s checks and audits had failed to identify shortfalls relating to the environment, medicines management, recruitment and shortfalls in records.
People were supported by staff who received supervision, training and an annual appraisal. Care plans contained important information relating to people’s mental capacity. Deprivation of Liberty Safeguard referrals were made when required. Incidents and accidents were recorded, and records confirmed any trends and actions taken.
People were supported by staff who were kind and caring although over lunch we observed people received care that was inconsistent due to people receiving support from various staff. Staff had a good understanding of how to respect privacy and dignity and how to promote independence.
Care plans contained important information relating to people’s individual needs. People had their care reviewed when required. Care plans contained people’s end of life wishes and the service liaised with professionals when required to meet people’s changing care needs. People felt happy to raise any complaints and these were logged including actions taken.
People and staff felt the management was approachable and it was a nice place to work. The service liaised with various stakeholders and shared information when required.
Rating at last inspection: Good (published February 2017).
Why we inspected: This was a planned inspection based on the previous rating. At this inspection we found the overall rating had changed from Good to Requires Improvement.
Follow up: We found one breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We will continue to monitor the service through the information we receive. We will visit the service in line with our inspection schedule, or sooner if required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk