Mountdale Nursing Home

The medicines records reviewed were in good order. Staff gave medicines at suitable times and treated people with dignity and respect.

“These showed each person received their medicines at the times they needed them, and records were kept in good order.” from the report

People and relatives spoke positively about the meals. Inspectors found people were supported to eat and drink enough, although hydration monitoring still needed improvement.

“People were supported to eat and drink enough to maintain a balanced diet.” from the report

The home worked with healthcare services when people needed support. Relatives said they were kept updated about care needs and health appointments.

“People were supported to access healthcare services and support as needed.” from the report

People were able to receive visitors without restrictions during the inspection.

“People were able to receive visitors without restrictions in line with best practice guidance.” from the report

Managers did not reliably investigate allegations of abuse or report concerns to the local authority and the CQC. Staff said concerns about unexplained bruising had not led to action.

“The provider's safeguarding practices and procedures were not effective, and people were not safeguarded from abuse and avoidable harm.” from the report

Inspectors saw four incidents of unsafe moving and handling. Some risks linked to catheters, diabetes and distressing behaviour were not properly assessed or recorded.

“Risks to people were not safely monitored and managed to support them to stay safe.” from the report

The home did not complete all required checks before employing staff. Inspectors also found periods when no staff were in the communal lounge and too few staff to provide regular activities.

“The provider did not ensure all required recruitment checks were completed on staff.” from the report

Some staff practice was unsafe despite training. Induction, supervision and appraisals were not completed as required, and some important training was missing or out of date.

“The service did not always make sure staff had the skills, knowledge, and experience to deliver effective care and support.” from the report

The home lacked reliable systems to identify problems, respond to complaints, learn from incidents and improve care. Required statutory notifications were also not always sent to the CQC.

“The lack of effective oversight and governance of the service has resulted in several breaches of regulatory requirements.” from the report