Latest Inspection
This is the latest available inspection report for this service, carried out on 7th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Mountside Residential Home.
Annual service review
Name of Service: Mountside Residential Home The quality rating for this care home is: The rating was made on: two star good service 1 0 1 2 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: June Davies Date of this annual service review: 1 8 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 9-11 Laton Road Hastings East Sussex TN34 2ES 01424424144 01424439406 mountside2@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Downlands Care Limited Number of places (if applicable): Under 65 Over 65 0 38 The maximum number of service users to be accommodated is 28. The registered provider may provide the following category/ies of service only: Care Home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: There have been no registration changes in the last 12 months. 1 0 1 2 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Mountside is registered to accommodate thirty eight older people. The property is situated in a residential area on the outskirts of Hastings, within close proximity to Alexandra park. The location of the home provides easy access to Hastings town centre and public transport links. Resident accommodation is provided on three floors, to which level access is provided
Annual Service Review Page 2 of 7 by way of two passenger lifts, stair lifts and a series of ramps. Mountside is registered for thirty-eight residents with some shared bedrooms, however all rooms are available as single occupancy only, unless a resident makes an express wish to share. Communal facilities include a range of pleasantly furnished lounges and a large dining room. The home also boasts extensive award winning gardens to the front and rear of the property. Parking is available at the front of the home. Information in regard to fees can be obtained by application to the Registered Manager. Additional charges are payable for hairdressing, toiletries, chiropody and newspapers. More detailed information about the services provided at Mountside can be found in the homes Statement of Purpose and Service User Guide - copies of these documents, along with the latest CSCI inspection reports can be obtained directly from the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for., since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home returned the annual quality assurance assessment (AQAA) when we asked for it. The AQAA provided us with clear and comprehensive information. It provided us with details of what the home does well, what they could do better and plans for improvement within the next twelve months. The last key inspection showed that the registered manager obtains detailed preadmission assessments from prospective residents prior to them moving into Mountside Residential Home. Care Manager plans of care are also sought, so that the manager can be certain, that the staff have the skills and qualifications and the environment is suitable to the needs of the prospective resident. The AQAA states that pre-admission assessments are sought as well as inviting the prospective resident to visit the home. At the key inspection in December 2008 the inspector found that care plans were comprehensive and gave good detail in relation to residents, personal, health and social care needs. There was evidence that residents and or their relatives representative sign up to their agreed care plan. Risk assessments were holistic rather than person centred and there is no evidence in the AQAA that this has changed. Residents told the inspector that there health care needs are well met in the home, and they are able to have access to external health care professionals as and when required. The AQAA states that care plans are reviewed and updated monthly. Medication in the home is generally well managed but at the last inspection, mid cycle medicines need to be recorded more accurately and liquid medicines, eye drops and ointments needed to be dated on bottle on day of opening. The AQAA states that prescribed medicines are dealt with in accordance with current guidance and that all Annual Service Review Page 4 of 7 staff who administer medication in the home have received the appropriate training. Residents are able to make choices in regard to their daily living routines, and are given the choice of a wide range of activties, which are arranged by an activities coordinator. Residents are kept informed in regard to what activities are on offer through a monthly newsletter. The registered manager arranges for a variety of external entertainers to come into the home to provide entertainment for the residents. The home encourages residents to maintain contact with relatives and friends and there are no restrictions on visiting. Menus in the home offer residents a wide variety of choice and meals are produced to a high standard, and take into account the residents likes and dislikes. The cook is able to cater for specialised diets as an when required. The home also celebrates special days with themed menus. The home has an up to date complaints policy and procedure, which is displayed in the home and included in the Service User Guide. The registered manager keeps a file of all complaints and compliments. Since the last key inspection the home has received one complaint, which was investigated upheld and documentation retained of the investigation and feedback to the complainant. The Safeguarding Vulnerable Adults policy and procedures was reviewed in February 2009. One Safeguarding Vulnerable Adults alert has been referred to East Sussex County Council Social Services Department since the last key inspection and this has been investigated. At the last key inspection it was found that not all staff had received training in Safeguarding Vulnerable Adults but since then the AQAA states that all staff have received training in Adult Protection and Whistle Blowing. Mountside Residential Care Home provides residents with a warm, comfortable environment, with light and airy communal areas. The home has an ongoing maintenance programme, to ensure that the environment is maintained and refurbished to a good quality standard. Since the last key inspection all main corridor carpets have been replaced, the main lounge and dining room have been redecorated and soft furnishing replaced. The home has a good standard of infection control, and the registered manager is in the process of updating the policy and procedure on infection control. Staffing ratios are at present sufficient to meet with residents assessed needs. The AQAA states that 75 of staff have achieved their NVQ qualification and that all staff continue to attend staff training sessions. At the last key inspection a requirement was made that all staff must complete their mandatory training, but there is no mention in the AQAA that this requirement has been met. The management structure in the home is in the process of changing in the next twelve months in that all lead carers will become part of the management team to ensure continuity in the home when the registered manager is not on duty. Staff recruitment was found to be robust at the last key inspection, where the inspector found that all staff had been appropriately vetted prior to being employed in the home. The AQAA states that new staff are not deployed to work in the home until two written references have been received and the home is in receipt of Criminal Records Bureau and Protection of Vulnerable Adults checks. All new staff are expected to complete in initial induction and Skills for Care induction within the first few weeks of their employment. The registered manager has obtained his Registered Managers Award and since the last inspection has completed and gained his NVQ level 4 in Social Care. He is found to be
Annual Service Review Page 5 of 7 approachable for residents, relatives and staff. At the last inspection the Quality Assurance System in the home was still being developed. Views of the service that the home provides is sought from residents, relatives and external stakeholders. Regular resident and staff meetings are held. There is also regular risk assessments carried out on Fire, Health and Safety within the home. The AQAA does not state that the manager has developed the Quality Assurance System in the home any further by recorded monitoring of the systems used in the home. Any personal allowances for residents kept for safekeeping is appropriately recorded with detailed documentation being kept for each individual resident. Staff supervision continues to be carried out at least six times a year, this supervision can take the form of staff meetings or formal one to one supervision with staff. It is during supervision that staff development is identified, to ensure that staff have the knowledge and skills to meet individual residents needs. Health and safety in the home is of paramount importance to ensure that residents live and staff work in a safe environment. All appliances used in the home have up to date maintenance certificates, and regular checks are made on the fire call points, emergency lighting and hot water delivery temperatures, any maintenance issue is dealt with as a matter of priority. All accidents and incidents occurring in the home are appropriately recorded. What are we going to do as a result of this annual service review? There will be no change to the Inspection plan and we will do a Key Inspection by the However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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