About the service Moundsley House is a residential care home providing personal and nursing care to up to 60 people. The service provides support to adults living with dementia. At the time of our inspection there were 47 people using the service. Moundsley House is part of a purpose-built care village which currently has two other homes open and two which are dormant on the site.
People’s experience of using this service and what we found
People’s risk and needs were assessed and managed well by staff. Issues with the environment in some areas were resolved promptly and there had been no impact on the safety of people from this.
The registered managers had oversight of the home and had quality assurance systems in place however development of these would give greater oversight and support to the managers in identifying some of the issues CQC found relating to the environment.
Care plans were in place and reviewed regularly but would benefit from being more detailed to support new and agency staff to have a better understanding of the care they needed to provide.
Medicines and IPC were managed well. Staff received training and support to ensure medicines were managed safely.
Staff sought people’s consent before providing support. 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.
Staff, people and relatives were positive about the registered manager and the support they provided.
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 06 November 2020).
Why we inspected
We received concerns in relation to staffing levels, staff training and medicines management. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. 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 not changed following this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moundsley House on our website at www.cqc.org.uk
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. This included checking the provider was meeting COVID-19 vaccination requirements
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.