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CQC report explained · a residential care home

What the CQC found at Mount Pleasant Care Home

Goodpublished 21 March 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including PPE, testing, admissions, hygiene, visitors and managing outbreaks.
Effective?
Good
This question was not covered in this targeted inspection.
Caring?
Good
This question was not covered in this targeted inspection.
Responsive?
Good
This question was not covered in this targeted inspection.
Well-led?
Good
This question was not covered in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 01 March 2021. It looked at infection prevention and control because of the coronavirus pandemic.

Inspectors were assured that the home managed visitors, social distancing, PPE, testing, admissions and possible outbreaks safely. They also found that the infection control policy was up to date.

Staff had infection control and handwashing training. The home carried out regular spot checks and competency checks, and had plans to protect higher-risk staff.

The home was inspected but not rated. This was not a full inspection of the quality of care, so the report does not provide ratings for all five areas.

What inspectors praised
  • Visitor safety

    The home had measures to reduce the risk of visitors bringing infections into the home or catching infections there. People could meet visitors outside or keep in touch by phone or video call.

    “The provider was following best practice guidance in terms of ensuring visitors to the home did not introduce and spread Covid19 providing good information and support for all.” from the report
  • Staff infection control

    Staff followed PPE and social distancing guidance and had training in infection control and handwashing. Their practice was checked regularly.

    “Staff had completed training, including IPC training and handwashing training.” from the report
  • Planning for outbreaks

    The home had arrangements for admitting people safely and isolating people with symptoms. It also had plans to protect staff at higher risk.

    “Staff were trained and knew how to immediately isolate individuals with symptoms to avoid the virus spreading to other people.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your infection prevention and control arrangements changed since the inspection on 01 March 2021?
  2. 02How do you currently manage visitors and support family contact during an infection outbreak?
  3. 03How do you check that staff are still using PPE and following handwashing and social distancing guidance?
  4. 04What is your current process for admitting someone from hospital or the community?
  5. 05What ratings or inspection findings cover caring, effective care, responsiveness and leadership, which were not assessed in this inspection?

This was an announced, targeted inspection of infection prevention and control under Safe; the other four areas were not inspected or rated. This explanation was written from the published report of 18 March 2021 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.

An earlier report, explained

What inspectors found, March 2019

Mount Pleasant Care Home was rated Good overall; inspectors found kind, safe and person-centred care, with a minor medicines recording issue.

This was an unannounced inspection over 4 and 5 February 2019. Inspectors reviewed care and medicines records, staff files, policies and information from professionals. They spoke with six people, six relatives and members of staff.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and well cared for. Inspectors saw kind and respectful interactions, personalised care, enough staff and good support with food, drink, activities and healthcare.

Inspectors found that creams and liquid medicines were not always dated when opened. They recommended that the home review current guidance and update its practice. Concerns about unsafe moving and handling, and inaccurate accident records, were investigated but were not substantiated.

The previous inspection, published on 29 October 2016, also rated the home Good. This inspection was brought forward because of information of concern about safety and management, but the inspection found the service met the characteristics of Good in all areas.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as kind and caring. Inspectors saw warm interactions and respectful support.

    “We observed warm interactions and people were treated with kindness and care by staff.” from the report
  • Personalised support

    Care plans recorded people's needs, likes, dislikes and important preferences. Staff knew people well and used this information in daily care.

    “People's care needs, likes, dislikes and what was important to the person was recorded in person-centred care plans.” from the report
  • Good safety systems

    Risk assessments, safeguarding procedures and accident monitoring were in place. Inspectors found the earlier concerns about moving and handling and accident records were not substantiated.

    “Robust systems were in place to monitor and learn from incidents and accidents.” from the report
  • Activities and choice

    People could take part in activities according to their interests and preferences. Staff offered both group and one-to-one activities.

    “The service provided a variety of activities in line with people's interests and encouraged people's involvement.” from the report
  • Approachable leadership

    The management team was visible and available. Audits and feedback were used to monitor the service and address shortfalls.

    “There were effective systems in place to monitor the quality of the service.” from the report
What inspectors were concerned about
  • Opened medicines were not always dated

    minor

    Dates were not always recorded when creams and liquid medicines were opened. Inspectors recommended reviewing current guidance and updating practice so medicines were discarded within the required time.

    “However, we saw when creams and liquid medicines were opened the dates were not always recorded to ensure they were discarded within the required time range.” from the report
Questions to ask them, based on this report
  1. 01How are opened creams and liquid medicines dated now, and who checks that they are discarded within the required time?
  2. 02How do you make sure staffing levels remain sufficient for each person's needs?
  3. 03How are care plans reviewed when a person's needs, preferences or risks change?
  4. 04How do you record and review accidents and incidents, and how are lessons shared with staff?
  5. 05What activities are available for someone who prefers one-to-one support or community activities?

This was an unannounced inspection of the overall quality and safety of the home, covering all five CQC questions; the previous inspection had also rated the home Good. This explanation was written from the published report of 21 March 2019 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 Mount Pleasant Care Home

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Mount Pleasant Care Home →

  2. March 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Mount Pleasant Care Home →

  3. October 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 30 December 2010.

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.

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