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CQC report explained · a nursing home

What the CQC found at Angel Mount Care Home

Goodpublished 12 December 2024, 21 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, May 2023

Rated Requires Improvement; inspectors found kind and responsive care, but safety checks, medicines records and management oversight were not always reliable.

This was the home’s first inspection since it registered. It was unannounced and took place over two days. Inspectors spoke with people, relatives, staff and a visiting professional. They reviewed care and medicines records, staff files, audits and the building.

The home was rated Good for Effective, Caring and Responsive care. People were treated with dignity, their health needs were supported, and care plans and activities generally reflected their needs. Staffing levels were considered safe, and people and families said they felt safe.

The home was rated Requires Improvement for Safe and Well-led. Inspectors found unsecured disused areas and weaknesses in medicines recording and stock checks. Audits had not always found these problems. The provider took some immediate action during the inspection, but CQC recommended further improvements.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels were consistently above the level set by the home's dependency tool. People, families and staff said there were enough staff.

    “People were supported by enough staff. A dependency tool was used to help determine safe staffing levels” from the report
  • Kind and respectful care

    People were treated with dignity and respect. Families said staff knew people well and were caring and patient.

    “The carers do genuinely care. [relative] feels that it is their home.” from the report
  • Good care planning and activities

    Care plans covered key needs, communication methods and personal interests. Inspectors saw people taking part in activities, including a zumba session.

    “Care plans contained information around peoples' preferences, routines and interests.” from the report
  • Good partnership working

    Staff contacted health professionals when people's needs changed. Records showed referrals and support from other professionals.

    “Staff were working with other professionals to ensure people's health and care needs were met.” from the report
What inspectors were concerned about
  • Unsecured areas

    serious

    Disused bathrooms, windows in vacant rooms and the laundry were accessible or unsecured. The manager took immediate steps during the inspection, but CQC recommended daily environmental checks.

    “We observed some parts of the property needed securing to reduce the risk of injury to people who use the service.” from the report
  • Medicines records

    serious

    Medicines counts and stock records were not always accurate. Some instructions for medicines given when needed did not contain enough detail.

    “Medications recording was not always robust. Some improvement was needed around record management and stock checking.” from the report
  • Management checks

    needs fixing

    Medication audits and environmental checks did not always find the problems inspectors identified. CQC recommended closer oversight of records and processes.

    “However, these did not always identify concerns found during the inspection, such as concerns relating to medication stock and records and rooms being unsecured.” from the report
  • Training gap

    needs fixing

    Staff had good compliance in many training areas, but learning disability training had not been provided. CQC recommended that this training be given to all staff.

    “However, training relating to supporting people with a learning disability was not provided” from the report
Questions to ask them, based on this report
  1. 01Have the disused bathrooms, vacant-room windows and laundry been secured, and how are daily environmental checks recorded?
  2. 02What changes have been made to medicines counting, stock checks and medicines records since the inspection?
  3. 03Do all staff now have training in supporting people with learning disabilities?
  4. 04How are audits checked to make sure they identify problems rather than simply being completed?
  5. 05How will you record each person's food preferences, routines and activity choices in their care plan?

This was the first comprehensive, unannounced inspection of the newly registered home; inspectors looked at the premises and care across all five key questions. This explanation was written from the published report of 23 May 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Angel Mount Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. May 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Angel Mount Care Home →

  2. July 2022

    Registered with the Care Quality Commission on 4 July 2022.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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