Background to this inspection
Updated
24 July 2019
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 Care Act 2014.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Montague Road Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed all the information we held about the service, including the last inspection reports, information from the service about how they managed incidents and information from stakeholders and members of the public.
During the inspection
We spoke with five people who used the service and one relative about their experience of the care provided. We spoke with ten members of staff including the area service manager, registered manager, deputy manager, nurse, care workers, domestics, maintenance worker and the chef. We observed the care and support provided to people, interaction between staff and people and a staff meeting.
We reviewed a range of records. This included three people’s care records and eight medicines records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with two social and health care professionals, who visit the service, on the telephone.
Updated
24 July 2019
About the service
Montague Road Nursing Home is a residential care home providing personal and nursing care to 24 people living with dementia and/or mental health needs at the time of the inspection. The service can support up to 24 people in one adapted building. There are three units in the service with eight people living on each.
People’s experience of using this service and what we found
People received extremely responsive care which was tailor made to meet their individual needs and preferences. People were at the heart of the service and their choices and self-determination were consistently upheld and supported. The care people received at the end of their lives was in line with the choices they made.
People were supported to take part in activities which were meaningful and reduced the risks of isolation. The service used best practice examples and used appropriate therapies that enabled people to express emotions through the use of music and animals and doll therapy where appropriate.
The service was extremely well-led. People and staff were truly involved in the running of the service and consistently consulted. The systems to monitor and assess the service were robust and supported the provider to continuously improve the service.
People shared positive relationships with the staff working in the service. There were enough staff to provide support to people when needed. Staff recruitment was done safely.
People were provided with a safe service, the risks in their daily living were assessed and systems in place to reduce them.
Staff received training to meet people’s needs effectively.
People received care and support to ensure good health and nutrition.
The service was clean and hygienic, and the environment was suitable for the people living there.
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.
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 24 January 2017). The key questions effective, caring, responsive and well-led were rated good and safe rated requires improvement. There were no breaches of Regulation.
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Montague Road Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.