About the service Mountbatten Grange is a residential care home that provides accommodation and nursing care for up to 72 older people some of whom may be living with dementia. At the time of the inspection 38 people were using the service in one adapted building across three floors including a specialist dementia floor.
People’s experience of using this service and what we found
People and relatives told us they felt the service was safe. Systems were in place to protect people from the risk of abuse and staff understood safeguarding and whistleblowing procedures. Medicines records indicated people received their medicines as prescribed and the medicines storage room was well organised. There were enough skilled staff to meet people’s needs and keep them safe. However, we received some feedback from people there was a delay in staff responding to call bells. The registered manager took action to address this and had systems in place to monitor for improvement. The service used regular agency staff but people told us and records showed that agency use was less over time.
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 co-ordinated effectively with health care practitioners to meet people’s needs and systems were in place to monitor people’s health. People told us they were happy with the variety and quality of meals offered, which they said had improved over time. The environment was well appointed, homely and adapted to meet people’s needs. The dementia suite had clear signage to help orientate people and points of interest to encourage interaction and engagement.
We asked people and relatives if they were well-treated by staff and received comments such as, “The carers are absolutely first class here”, “The care is alright but sometimes it lacks TLC- some of them are better than others” and “[Family member] is looked after extremely well, very nice people, very happy.” We observed staff offered warm interactions and respected people’s privacy bar one exception, which we fed-back to the registered manager who took immediate action to address this.
People's end of life wishes were explored and documented. The service offered a variety of activities and social opportunities which people told us they enjoyed. The service had not received any complaints; the registered manager documented people’s less serious concerns and there was a clear audit trail of swift responses and outcomes.
We received positive feedback about the registered manager’s leadership from people, staff members and social care professionals. The service sought people’s and their relatives’ feedback which was used to drive continuous improvement. There were systems in place to monitor the quality and safety of the service and progress had been made to address issues highlighted.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 November 2018 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.