27 April 2021
During a routine inspection
Mountfield is a residential care home providing personal and nursing care to 18 people aged 65 and over at the time of the inspection. The service can support up to 46 people. Mountfield is a purpose-built care home specialising in support for people living with dementia. Accommodation is provided across two floors.
People’s experience of using this service and what we found
Improvements had been made to promote people’s safety and deliver good quality care. However further improvements were still needed in some areas.
The assessing of risks to people was more detailed so that staff could support people safely but some information in these records was contradictory. Security of the premises still required minor improvements. Infection prevention and control was much improved, and the premises were very clean. Medicines were managed safely but further changes could be made to ensure information for topical creams was clear for staff to follow. Staff had a good understanding of safeguarding and how to report concerns.
The manager had a plan in place to further develop the environment for people living with dementia to help people orientate around the home, promote independence and reduce confusion. Care records were much more comprehensive, but the information presented was at times contradictory and not always person centred in the way it was written. Staff training had improved which led to staff feeling confident in supporting people.
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 this practice.
Staff were kind and caring. They treated people with respect and promoted their independence. Relatives had reported recent improvements to the way they were involved in their loved one’s care.
Improvements to activities provided and interest areas were underway. We saw that people were stimulated to be involved in activities to promote independence, reduce social isolation and deliver enjoyment. Complaints were managed appropriately. Improvements needed to be made in collating and recording the wishes of people for care at the end of their life.
The new manager and management team had made good progress since the last inspection to improve the safety and quality of care delivered to people. Relatives we spoke to told us of recent improvements in communication. Where we identified further improvements were required, the manager had identified this and was developing a plan and timeline to implement these.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was inadequate (Published 7 January 2021) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 7 January 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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.
We have found evidence that the provider needs to make improvements. Please see the relevant key question sections of this full report.
The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.