CQC report explained · a nursing home
What the CQC found at Mountbatten Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, staffing levels were adequate and medicines were given by trained staff. Inspectors found one missing risk record and said the quantity of medicines on site was not always clear from the records.
- Effective?
- Good
- This area was not reviewed in detail during this focused inspection. Its rating was carried forward from the previous inspection.
- Caring?
- Good
- This area was not reviewed in detail during this focused inspection. Its rating was carried forward from the previous inspection.
- Responsive?
- Good
- This area was not reviewed in detail during this focused inspection. Its rating was carried forward from the previous inspection.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits, trained staff and good relationships with healthcare professionals. Meetings for people and relatives were poorly attended, and the provider was considering other ways to involve them.
What inspectors found, March 2023
Mountbatten Nursing Home was rated Good; inspectors found safe, kind care and effective management, with minor record-keeping gaps.
This was an unannounced, focused inspection on 16 February 2023. Inspectors spoke with 11 people, two relatives, five staff and the provider. They observed care and checked records, including medicines, care plans, health and safety checks and audits.
People told inspectors they felt safe and well cared for. There were enough experienced staff, medicines were given safely, risks were assessed and infection control arrangements were in place. Staff knew people well and supported their choices and preferred routines.
The home was rated Good for Safe and Well-led. Inspectors found some gaps: one assessed risk was not recorded in the person's care plan, medicine quantities were not always recorded, and meetings for people and relatives had low attendance. The overall Good rating stayed the same as at the previous inspection, but this inspection did not review all five areas.
Enough staff
Inspectors found enough staff to meet people's needs. People said call bells were usually answered within a few minutes, and staff were not rushing people.
“There were adequate numbers of staff to keep people safe and meet their needs.” from the report
Safe medicines
Medicines were given by trained nurses and senior staff. Storage, disposal and emergency medicine instructions were suitable.
“People received their medicines safely from trained nurses and senior staff who had received specific training.” from the report
Kind, personal care
Staff knew people well and supported their individual routines and choices. Inspectors saw kind and friendly interactions.
“Staff knew people well which enabled them to provide person centred care.” from the report
Good oversight
The provider used audits to monitor care and identify improvements. Staff had training and competency checks suited to their roles.
“The provider used audits to monitor the quality of care and support provided and to drive improvements.” from the report
Missing risk record
needs fixingIn one case, risks had been assessed and actions were being taken, but the action was not recorded in the person's care plan. The provider agreed to look into this.
“There was no record of this in the person's care plan.” from the report
Medicine quantities unclear
minorMedicine administration records were generally well completed, but they did not always show clearly how much medicine was on the premises. The provider said this would be highlighted and monitored.
“The quantity of medication on the premises was not always clear as this was not recorded on the records.” from the report
Low meeting attendance
minorMeetings for people and relatives were poorly attended. The provider was looking at other ways for people to be involved and make suggestions.
“However, these were poorly attended, and the provider was looking at alternative ways for people to be involved and able to make suggestions.” from the report
- 01How have you corrected the missing risk information in the care plan, and how do you check that all risk actions are recorded?
- 02How do you record and check the quantity of medicines held at the home?
- 03What alternative ways are you using to involve people and relatives who do not attend meetings?
- 04How quickly are call bells usually answered, including at night?
- 05How will the planned electronic care plan system improve record keeping and management oversight?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 15 March 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.
What inspectors found, December 2017
Mountbatten Nursing Home is rated Good; inspectors found safe, kind and personalised care, with four bedrooms still awaiting ceiling hoists.
Inspectors made an unannounced visit on 30 November 2017. They spoke with 13 people living at the home, visitors, staff and a healthcare professional. They observed care, looked around the building and checked care plans, medicines records and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough skilled staff, safe medicines processes, detailed care plans and good support for people with complex medical needs.
People said staff were kind, respectful and quick to respond. Inspectors also found that people could make choices about their routines, receive personalised activities and receive compassionate end-of-life care.
The home was rated Good at its previous inspection in October 2015 and remained Good at this inspection.
Safe staffing and medicines
Inspectors found enough skilled staff and saw that call bells were answered promptly. Medicines were administered by trained staff and records were kept.
“There were adequate numbers of skilled and experienced staff to keep people safe and to meet their needs.” from the report
Personalised care
Care plans included physical needs, preferences, routines and life history. Staff knew people well and used this information to provide individual care.
“Care plans we saw were detailed and personalised to the individual.” from the report
Kind and respectful staff
People described staff as kind and considerate. Inspectors saw a relaxed atmosphere and found that people were involved in decisions about their care.
“Everyone we asked told us staff were always kind and considerate.” from the report
Complex and end-of-life care
The home worked with healthcare professionals to support people with complex needs. Staff also worked with hospice services and discussed people's end-of-life wishes.
“People could be confident that at the end of their lives they would be treated with compassion and any discomfort would be effectively managed.” from the report
Activities and independence
People were supported with individual and group activities, trips and hobbies. Equipment was provided to help people stay independent and communicate with friends and family.
“The provider had purchased a car which was able to safely transport people in their wheelchairs and this helped people to use community facilities.” from the report
Some ceiling hoists were not yet fitted
minorFour bedrooms did not have ceiling track hoists at the time of inspection. The home said these would be fitted shortly, so families should check whether this work has been completed.
“The registered manager told us there were only four bedrooms left which did not have ceiling track hoists in and these would be fitted shortly.” from the report
- 01Have the four bedrooms without ceiling track hoists now been fitted, and which equipment would be available in the room being considered?
- 02How would you assess and train staff to support my relative's specific complex medical needs?
- 03How are care plans updated when a person's health, preferences or daily routine changes?
- 04What individual activities and community trips could my relative take part in?
- 05How would you involve my relative and family in decisions about medicines and end-of-life care?
This was an unannounced inspection covering all five CQC questions and the overall quality of the service. This explanation was written from the published report of 21 December 2017 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.
Every inspection of Mountbatten Nursing Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- March 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodstayed GoodSafe: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 January 2011.
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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