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CQC report explained · a nursing home

What the CQC found at Mountbatten Grange

Goodpublished 18 December 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Medicines, infection control, recruitment checks and risk management were generally handled safely, although some people reported delays with call bells.
Effective?
Good
People received care based on assessments of their needs and choices. Staff were trained, meals and drinks were well provided, and the home worked effectively with health professionals.
Caring?
Good
Staff were generally kind and respectful and involved people in decisions about their care. Inspectors noted one exception involving privacy, which was raised with the manager and addressed immediately.
Responsive?
Good
Care plans reflected people's needs and preferences. The home offered activities, supported communication and recorded people's end of life wishes.
Well-led?
Good
The manager was described as visible, approachable and responsive. Audits and feedback systems were used to improve the service, although monitoring records were occasionally incomplete.
The latest report, explained

What inspectors found, December 2019

Rated Good; inspectors found kind, safe and well-organised care, but some people experienced delays with call bells.

This was the home’s first inspection. It was unannounced and took place on 25 and 30 October 2019. Inspectors spoke with people, relatives, staff and health and social care professionals. They also checked care records, medicines records, staff files, rotas, training records and management systems.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines arrangements, suitable care plans, good links with health professionals and activities that people enjoyed.

There were some shortfalls. Some people said call bells were not always answered quickly. Inspectors also found that staff sometimes did not complete monitoring records fully. The manager had identified these issues and had introduced checks and other actions to improve them.

What inspectors praised
  • Good staff training

    Staff had training relevant to people's needs, including moving and handling, wound care, oral hygiene and safeguarding. New staff received a thorough induction.

    “People were supported by trained, skilled staff.” from the report
  • Meals and nutrition

    People spoke positively about the food. The home monitored food intake and weight, and provided extra nutrition where needed.

    “The service promoted nutritious meals and provided people with enough to drink.” from the report
  • Kind and respectful care

    Inspectors observed warm and respectful interactions. Care plans supported people's independence and involvement in decisions.

    “Staff we observed and spoke with demonstrated a caring respectful approach to supporting people.” from the report
  • Activities and social contact

    The home offered varied activities, trips and events. Inspectors saw people taking part and appearing to enjoy themselves.

    “We observed activities were well attended and people appeared to be enjoying themselves with lots of chatter and smiles.” from the report
What inspectors were concerned about
  • Call bell delays

    needs fixing

    Some people said they sometimes waited a long time for staff to respond, including at weekends. The manager had introduced extra monitoring and management presence to improve response times.

    “If I need something generally they arrive after five or ten minutes but sometimes it is longer, up to forty minutes” from the report
  • Incomplete monitoring records

    needs fixing

    Inspectors found that staff occasionally did not complete monitoring records fully. The provider had added checks and guidance, and records had improved.

    “We found that occasionally staff did not complete or fully complete people's monitoring records” from the report
  • Some variation in personal warmth

    minor

    Most feedback about care was positive, but one person said the level of personal warmth varied between staff. This is worth discussing if emotional support is important to your relative.

    “The care is alright but sometimes it lacks TLC- some of them are better than others” from the report
Questions to ask them, based on this report
  1. 01How quickly are call bells answered now, including at weekends, and can you show us the recent monitoring results?
  2. 02What checks make sure all monitoring records are completed fully and accurately?
  3. 03How do you make sure people receive consistent warmth, kindness and personal attention from all staff?
  4. 04How are my relative's care choices, communication needs and end of life wishes recorded and reviewed?
  5. 05How do residents and relatives influence changes to meals, activities and the way the home is run?

This was the first planned, unannounced inspection and covered all five CQC questions, including the care provided and the premises. This explanation was written from the published report of 18 December 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 Mountbatten Grange

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

  1. December 2019Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Mountbatten Grange →

  2. November 2018

    Registered with the Care Quality Commission on 22 November 2018.

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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