We carried out a review of the data available to us about Mowbray Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Mowbray Nursing Home, you can give feedback on this service.
Mowbray Nursing Home is a care home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 39 people.
People’s experience of using this service and what we found
People told us they felt safe living at the home. People’s safety was promoted by the registered manager and staff who understood their responsibilities to identify and report potential harm and abuse. The management team consistently reviewed accidents and incidents to reduce the possibility of people being harmed. Risks to people’s health and wellbeing were known by staff and well managed.
People’s medicines were managed, stored and administered by staff who had received the training to promote safe practices. The registered manager and staff maintained close links with external health and social care professionals to promote people’s welfare.
People were supported by staff who had the knowledge about how to prevent and reduce cross infections. People were complimentary about how the home environment was kept clean and free from unpleasant odours.
People and staff said there were sufficient numbers of staff available to meet people’s needs without unreasonable time delays. The registered manager kept staffing levels under review alongside people’s individual needs to reduce risks to people’s wellbeing. The provider’s recruitment procedures were followed, and all the appropriate checks had been completed on new staff’s suitability to work at the home.
Staff understood people’s needs and abilities because they read care plans and received an induction where they worked alongside experienced staff until they knew people well. Staff received training and support to develop their skills and knowledge. Staff had opportunities to reflect on their practice and learn from other staff, so people’s needs were effectively met and promoted.
People supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were offered meals and drinks which were suitable for their individual needs and met their preferences to keep people healthy and well. Staff made sure people obtained advice and support from health professionals to maintain and improve their health or when their needs changed.
The provider and management team continued to make ongoing improvements to the home environment and facilities to meet people’s needs. People enjoyed spending time in their rooms which they had furnished with personal objects to make these feel homely.
People were cared for by staff who knew them well and who they described as caring. Staff knew about people’s individual preferences for care. Staff respected people’s dignity and privacy and responded to people’s likes and dislikes to support people in following their own interests.
People knew how to raise any concerns and who they should report any concerns to. The registered manager responded to people’s complaints and took action to improve care as a result of complaints.
The registered manager and provider were aware of their responsibilities and had developed checking arrangements to monitor the quality of the service people received. The management team were continually looking at how they could provide better care for people. In doing so they valued people’s views about the services provided and used these to drive through improvements and further develop services people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (report published 12 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mowbray Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The provider is registered to provide accommodation with nursing or personal care for up to 39 people with a range of needs including dementia care.
There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run.
People told us they liked the staff and were treated well making them feel staff. Staff we spoke with knew of their responsibility to protect people from the risk of abuse and knew the signs people may display. The registered manager had reported concerns regarding the care people had received prior to their admission to the nursing home. People told us staff were kind and caring and encouraged independence where possible. People were aware of the registered manager and of their right to complain about their care if needed.
The registered manager had systems in place to ensure sufficient staff were available to meet the assessed needs of people. People told us they felt their needs were met and the majority believed staff responded in a timely way when they needed assistance. People told us they were able to participate in organised events at the home or spend time in their own bedrooms.
The provider had recruitment arrangements in place to ensure staff were suitable to work with people and were of good character. Staff received induction training before they started working at the home including time with experienced staff members. Staff received on-going training and were able to identify training which they believed would be beneficial to their learning and development. Staff were able to attend staff meetings and felt supported by the management.
People confirmed staff sought permission prior to providing care and support and felt they were able to make choices about their care. The registered manager was able to assure us that people were provided with care and support in line with their individual choice. Staff were aware of the need to support people in the least restrictive way and to ensure people were not unlawfully restricted.
People were supported to maintain their health and welfare. Visiting professionals were confident in the care people received at the home. Professional were complimentary about the nutritional support people received as well as the choice of diet provided and medicines management. People had access to healthcare professionals as needed to maintain their welfare.
The registered manager had systems in place to monitor the quality of the care provided and to monitor events which took place in the home to assist keeping people safe. Risks to people’s care and support were assessed and reviewed as needed. The registered manager had visions for the future development of the care and support provided for people to further enhance the quality of life people experienced.
The inspection at Mowbray Nursing Home was unannounced inspected and took place on the 20 April 2015. The provider of Mowbray Nursing Home is registered to provide accommodation for people who require nursing or personal care for up to 39 people. At the time of the inspection 35 people lived at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Some people felt that at times staff did not always respond effectively and in a timely manner when they needed care and support having rung their call bell. We found with the exception of delays answering the call bell that people felt safe. People who lived at the home told us that they felt safe. These comments were shared by relatives that we spoke with. Staff were knowledgeable regarding their responsibility to keep people safe and were aware of the actions they would need to take if abuse took place. We found that people were cared for in a supportive way which did not restrict their freedom.
We found that some improvement was needed with the management of medicines to ensure that people always received the correct dose and that any changes to their regime were acted upon.
People were cared for by staff who had received training and support to enable them to meet people’s care needs. People had access to healthcare professionals who were complimentary about the level of care and support provided.
People we spoke with were complimentary about the food provided and received regular drinks throughout the day. Staff were aware of people’s dietary needs as well as their individual likes and dislikes. We found that these were reflected in the care provided.
We saw that staff were caring and respectful to people who lived at the home and ensured that their privacy and dignity was maintained. People told us that they were listened to and that they were involved in the planning of the care. People’s personal history and past experiences were known. People were able to participate in hobbies that interested them.
People we spoke with were confident that any concerns they raised would be listened to and that the registered manager would take the necessary action to improve things. People who used the service as well as relatives and staff told us that they had found the registered manager to be supportive and approachable.
The provider had systems in place to ensure the quality of care provided was monitored. Audits and surveys were in place and showed what actions had been taken.
We watched staff as they cared for people. They provided care and support that met people's needs. We found that staff knew about the needs of the people they cared for. We looked at care records for two people and found that these contained guidance for staff on how to meet their needs. We saw that people's needs had been reviewed regularly.
We found that medicines were prescribed and given to people appropriately. We also found that medicines had been secured stored and managed safely.
People were protected from the risk of harm and abuse because staff had received training and had a clear understanding of their roles and responsibilities with regard to safeguarding. Staff told us that they had been supported by the manager and had received training that they needed to do their jobs. Records had been maintained appropriately and stored securely.
Two people who were regular visitors to the home told us that they were always made welcome and never had any concerns about peoples care when they visited.
We saw that staff cared for people well and that they had a good understanding of people's individual needs and personal preferences. Care plans had been recorded for each person which detailed the care needed to be given by staff. The information staff gave us about the people they cared for matched the information we saw in people's care plans.
There had been a number of improvements to the environment since our last inspection. These had included a programme of redecoration, improvements to bathing and shower facilities and the purchase of some new equipment. All of the equipment and areas of the environment we looked at on the day of our inspection were clean.
In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.