Scissett Mount

People and relatives consistently said they felt protected from abuse. Safeguarding concerns were recorded and followed up.

“People and relatives consistently told us the service protected people from abuse.” from the report

Inspectors found enough staff to meet people's needs. People said waits for help were relatively short and manageable.

“Sufficient numbers of staff were in place to meet people's needs.” from the report

Although medicines records had important gaps, staff gave medicines safely and respectfully, and their competence had been checked.

“Staff administered people's medicines in a safe and respectful way.” from the report

People, relatives and staff gave positive feedback about the management team and opportunities to share views.

“Opportunities were provided to people, relatives and staff to be engaged and involved in the running of the home.” from the report

Weekly clinical meetings helped staff discuss changing needs and medicine matters with a GP. Community activities were also positively received.

“This was a well-run meeting which focused on people's changing needs and any related medication matters.” from the report

Some people's risks were not recorded in enough detail, including choking, thickened drinks and dietary risks. Some people also did not have accessible call bells.

“Risks to people were not always identified and written into care records.” from the report

Two medicines were signed for on the wrong day. Information about one as-required medicine and the timing of another medicine was not sufficient.

“There was insufficient information in the PRN protocol about the care needs of a person and administration of their 'when required' medicine, which put them at risk of harm.” from the report

Daily walkarounds were not recorded for about six weeks. Audits gave high scores that did not match gaps found in care and capacity records.

“This meant we were not sufficiently assured of the effectiveness of governance checks.” from the report

The electrical wiring certificate had expired, hot water checks had not been done for several months, and emergency evacuation plans were out of date when the inspection began.

“There was insufficient oversight of maintenance checks.” from the report

Staff supported people within the principles of the Mental Capacity Act, but assessments were absent for some people. The home said these records were due to be updated.

“Whilst people were offered choices and staff were able to identify whether people had capacity or otherwise, there was an absence of mental capacity assessments to support this for some people.” from the report