Background to this inspection
Updated
5 April 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 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 visiting arrangements in place during a COVID-19 outbreak at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 14 March 2021 and was unannounced. We gave the service no notice of the inspection.
Updated
5 April 2022
About the service
Montgomery House is a large nursing home providing personal and nursing care to 74 people aged 65 and over at the time of the inspection. The service can support up to 90 people.
The home is divided in to five separate units. Three units delivered nursing care and two units delivered personal care under the residential care model. People had access to a communal activities room, a hairdressing salon and secure outside space. The home is situated on a main road and is next door to a large medical practice and leisure facilities.
People’s experience of using this service and what we found
Governance systems were in place, but we noted a few areas of required improvement that the provider needed to address. We identified some omissions of information which the provider remedied during the inspection but had not identified via the auditing systems in place. Staff appeared clear on their roles and responsibilities however we received feedback that questioned the approachability of certain staff members in the team.
People told us they were happy with the care received and achieved positive outcomes.
People were protected from harm by staff who had been trained in safeguarding. Risk assessments were person centred. People were supported by sufficient numbers of staff and received their medicine as prescribed. People were protected from the risk of infection and accident and incidents were monitored and reports were completed and reviewed by the management team.
People’s needs were assessed before they moved in and throughout their time at the service. Staff received training and were supervised on a regular basis. People had access to a balanced diet and regular fluids. 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.
The building was adapted to meet people’s needs and decorated in a homely way.
People had access to health care services and the provider worked with numerous other agencies to support people to receive consistent care. People were treated with kindness and respect. People were involved in decisions about their care. People’s dignity was protected, and they were supported to maintain their independence.
People had access to meaningful activities and were enabled to develop new friendships. People had access to a complaints procedure and complaints were fully investigated.
End of life care was delivered in line with national guidance.
The service sought to continually improve and worked with in partnership with others. People, staff, families and other stakeholders had the opportunity to engage with the service.
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 requires improvement (published 17 July 2018). We found that the provider was in breach of Regulation 17 (Good Governance). At this inspection we found improvements had been made and the provider was no longer in breach 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 Montgomery House 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.