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CQC report explained · a residential care home

What the CQC found at St Marys Mount

Goodpublished 2 April 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found safeguarding, staffing, medicines, infection control and accident-learning systems were in place, although some risk records were not detailed enough.
Effective?
Good
People received suitable care, food and support with health needs. Staff were trained and worked well with other professionals, but some mental capacity and best-interest records were still being completed.
Caring?
Good
Staff treated people with kindness, dignity and respect. People and relatives said staff communicated well and involved people in decisions about their care.
Responsive?
Good
Care was adapted to people's needs, interests and choices. Activities were offered daily, complaints were dealt with in a timely way, and end-of-life care was described as compassionate.
Well-led?
Good
The home had clear leadership, supportive staff and regular quality checks. People, relatives and staff were given opportunities to share views and suggest improvements.
The latest report, explained

What inspectors found, April 2019

St Marys Mount was rated Good; inspectors found safe, kind and well-organised care, with some care records not detailed enough.

This was an unannounced inspection on 12 March 2019. The inspection included speaking with people living in the home, visiting families, staff and health professionals. Inspectors observed care and checked care records, medicines records, staff rotas, training, complaints and quality checks.

The overall rating was Good. All five areas were also rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were happy with the care. Inspectors found kind staff, enough staff to respond promptly, safe medicines systems, suitable training and good links with health professionals.

There were some weaknesses in record keeping. Risk assessments and care plans did not always contain enough detail, and some mental capacity and best-interest records were still being completed. Inspectors still found that staff understood people's needs and were taking the necessary practical steps to keep people safe.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe. Staff understood how to report concerns and the home reviewed accidents and incidents for learning.

    “People using the service said they felt safe at St Mary's Mount and relatives told us they felt their family members were safe.” from the report
  • Kind and respectful care

    Inspectors saw friendly, caring interactions. Staff knew people well and supported their dignity, independence and choices.

    “People told us staff were kind and caring in their approach.” from the report
  • Good staffing and training

    Staffing levels had been increased at busier times. Staff received induction and training relevant to the people living in the home.

    “Staff received a comprehensive induction, and all staff completed, or were in the process of completing, the care certificate.” from the report
  • Personalised activities

    The home offered daily activities based on people's interests. People could also attend an adjoining day centre or spend time with family.

    “A range of activities and entertainments were offered daily, based on people's interests.” from the report
  • Teamwork and oversight

    Staff worked together and felt able to raise concerns. Management used audits, meetings and feedback to identify improvements.

    “Care was well organised and people were clear about their individual roles and responsibilities.” from the report
What inspectors were concerned about
  • Care plans did not always reflect staff knowledge

    needs fixing

    Care plans contained different levels of detail, and staff knowledge about people's needs and preferences was not always written down.

    “These contained a variable amount of detail about the person's needs and preferences, and the knowledge staff had about people was not always reflected in the care plans.” from the report
  • Some capacity records were unfinished

    needs fixing

    The home was still completing all the necessary mental capacity assessments and best-interest decisions after advice from the local authority.

    “Following a visit and advice from the local authority, staff were in the process of ensuring all the necessary mental capacity assessments and best interest decisions were completed.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure risk assessments clearly record every action needed to keep my relative safe?
  2. 02How often are care plans updated, and how do you record staff knowledge about a person's preferences and needs?
  3. 03Have all mental capacity assessments and best-interest decisions now been completed where needed?
  4. 04How do you adjust staffing levels during the afternoon and early evening, when the report says accidents and incidents were higher?
  5. 05Which activities would match my relative's interests, and how would you adapt them if their needs changed?

This was an unannounced scheduled inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 2 April 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 St Marys Mount

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. April 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Marys Mount →

  2. July 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 8 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.

Next steps

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