Angel Mount Care Home

Updated 23 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Angel Mount Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Angel Mount Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since it was registered. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 17 January 2023 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 2 relatives. We also received written feedback from a relative and a visiting professional. We spoke with 9 staff, including, 3 care worker, a senior carer, a nurse, domestic staff, deputy manager, registered manager and quality manager.

We looked at 3 people’s care records, associated documents, medicines records and medicines related documentation. We also looked at 3 staff files, training, and supervision records, as well as records relating to the operation and management of the service. We undertook a tour of the building, observed medicines administration and their storage, and completed observations in the communal areas.

Updated 23 May 2023

About the service

Angel Mount Care Home is a residential care home providing personal and nursing care to up to 39 people across one floor. The service provides support to people with physical, mental health, and sensory needs and for people living with dementia. At the time of our inspection there were 10 people using the service.

People’s experience of using this service and what we found

Some disused areas of the home were accessible to people living in the service which could expose them to risk. This was addressed during the inspection, and we made a recommendation around environmental checks. People had risk assessments around their health needs in place. Staffing levels were safe, families and staff told us there were enough staff to meet peoples’ needs. Safe recruitment practices were in place, and we made a recommendation around improving recruitment checks further. Recording around medicines was not always accurate. Medications was being stored safely. Infection prevention and control practices were robust. People and families told us they felt safe in the service and people could have regular visitors.

Staff were consistently receiving training in key areas and had good levels of compliance. We have made a recommendation to include training around learning disabilities. Staff supervisions were occurring regularly. Pre-admission assessments were being completed and care plans covered key areas. People had their diet and nutritional needs met. Mixed views were given from people around the enjoyment of their meals. Weight management systems were in place. Staff worked in partnership with other agencies to maintain people’s health and well being.

People were 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.

Peoples were being treated with dignity and respect. Relatives told us staff were caring and staff were aware of peoples’ individual need and backgrounds. People and their families were encouraged to express their views on their care.

Activities were occurring in the service. Records showed care was person centred, and key information was being captured. Peoples’ communication needs were being care planned. No one in the service was at end of life at the time of the inspection. Training was provided around end of life care, should this be required. A complaints procedure was in place. People and families told us they felt able to complain.

Systems and processes were in place to oversee and monitor the service. Recent records were not accurate around medicine counts. We made a recommendation around the provider increasing oversight and audits. People were receiving good outcomes from their care. The views of people, families, staff and professionals were regularly sought. Staff and relatives’ meetings were regularly occurring. Staff, families and visiting professionals spoke positively around the management and service. Staff told us there was good morale in the home. The provider was aware of duty of candour and was making appropriate notifications.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 04 July 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We made recommendations around environmental checks, recruitment, training and increased oversight of processes and recording.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.