CQC report explained · a nursing home
What the CQC found at The Mount & Severn View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, medicines were given safely, there were enough staff, and infection control arrangements were suitable.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective checks on quality and safety, open management, regular staff support and good communication with people and relatives.
What inspectors found, February 2023
The Mount & Severn View rated Good; inspectors found safe care and strong management, with no evidence of harm from the concerns that led to the inspection.
This was an unannounced focused inspection on 10 January 2023. Inspectors looked at whether people were safe and how well the home was managed. They spoke with people, relatives and staff, and checked care plans, medicines records, recruitment information and safety records.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed, medicines were given safely, staffing levels met people's needs and infection control arrangements were suitable. People said they felt safe and that staff were kind and helpful.
The inspection followed concerns about pressure care, equipment and clinical tasks. Inspectors found no evidence that people were at risk of harm from these concerns. The overall Good rating stayed the same as at the previous inspection in 2019.
This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection.
Risk management
Care risks, including pressure damage, mobility and eating and drinking, were assessed and regularly reviewed. Staff followed care plans and appropriate equipment was available.
“There were effective procedures to assess and manage risks which staff understood and followed.” from the report
Medicines
People received their medicines when needed. Staff who administered medicines were trained and competent, and medicines were securely stored.
“People's medicines were managed and administered by staff who were trained and competent to carry out the task.” from the report
Staffing and safety
Inspectors found enough staff to meet people's needs. Recruitment checks were carried out before staff started work.
“People and staff told us there were enough staff on duty to meet people's needs and help keep them safe.” from the report
Open management
The manager promoted openness and staff felt able to speak up. Regular audits, meetings and provider checks were used to monitor the home.
“There were effective audits and checks to monitor and improve the quality and safety of the service provided.” from the report
Listening to people
People's and relatives' views were sought through surveys and meetings. The home recorded actions taken in response to feedback.
“Following feedback from surveys, the management team produced a 'You said, we did' information sheet for people and relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01How are pressure damage risks assessed, reviewed and recorded for my relative?
- 02What checks are carried out to make sure equipment is safe and suitable for my relative?
- 03How are clinical tasks recorded and checked, following the concerns that led to this inspection?
- 04How will you keep me informed if there is a concern about my relative's care or wellbeing?
- 05What were the latest findings from your surveys and the actions recorded in your 'You said, we did' information?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 15 February 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, September 2019
Rated Good; inspectors found safe, kind and well-organised care, with some life-history information still to be completed.
This was an unannounced planned inspection on 3 September 2019. Inspectors spoke with six people, three relatives and one friend. They also spoke with 10 staff members, observed care and checked care, medicines, recruitment and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, suitable risk assessments, trained staff and access to healthcare.
People described staff as kind, respectful and helpful. People were involved in their care, had choices about food and activities, and could raise concerns. Some life-history care plan information was incomplete, although staff knew people well and managers were working to add the missing details.
The previous inspection, published in September 2018, rated the home Requires Improvement and found a breach about how it was managed. This inspection found improvements had been made and that the home was no longer in breach of regulations.
Safe medicines support
People told inspectors they received medicines when needed and in their preferred way. Staff were trained and guidance was available for medicines given when required.
“People were safely supported with their medicines by a trained and competent staff team.” from the report
Kind and respectful staff
People and relatives described staff as caring, friendly and respectful. Inspectors saw people treated with dignity and supported to remain independent.
“People told us they were treated with care by a helpful, considerate and friendly staff team.” from the report
Good knowledge of people
Staff could explain people's needs, wishes and risks. Inspectors found that staff knew people well, even where some written life-history details were missing.
“Staff members could tell us about people's individual needs and wishes.” from the report
Choices and activities
People could choose meals, receive alternatives and take part in activities such as games, outings, shopping and religious services.
“Throughout this inspection we saw people were involved in activities they enjoyed and found interesting and stimulating.” from the report
Improved management
The home had quality checks, staff meetings, relatives' meetings and an action plan for improvement. The earlier management breach had been resolved.
“The management team had systems in place to monitor the quality of the service that they provided and had developed an action plan for continuous improvement.” from the report
Incomplete life-history information
minorSome people's life-history plans did not contain enough information. The manager said they were working with a named staff member to complete these details with people.
“The management team recognised some of their 'Life History' plans were lacking information about those they supported.” from the report
- 01How will you finish the incomplete Life History plans, and how will you check that the information is used in daily care?
- 02How do you make sure staffing levels remain enough when people need prompt support or when staff are absent?
- 03How are medicines given when required, and how are medicine errors investigated and followed up?
- 04How are relatives involved when a person's health, needs or care plan changes?
- 05What improvements from the previous inspection are still being monitored through the current action plan?
This was an unannounced planned inspection covering the home, the care provided and all five CQC question areas. This explanation was written from the published report of 18 September 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.
Every inspection of The Mount & Severn View
5 rated inspections over 7 years: the service has held its Good rating throughout.
- February 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 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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