Scissett Mount

Scissett Mount is a care home registered to provide residential care to a maximum of 85 people. At the time of our inspection, the provider was providing accommodation for older people and those living with dementia. On the first day we inspected this service, 69 people were living in the home. On day 2, this number was 71.

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

Risks to people were not fully assessed and recorded in sufficient detail in care records. Senior staff responsible on each floor were aware of individual risks to people. Some people were without access to call bells which meant we were not assured they could alert staff if they needed assistance.

A wide selection of audits were being carried out, although these were of a variable quality. Audit scores were not fully reflective of the issues identified. Audits identified that some people needed risk assessments for behaviour which may challenge others and falls, although the timescale for these actions did not reflect the urgency associated with the risk. The home manager’s daily walkaround had not been recorded for approximately 6 weeks and this task had not been delegated to anyone else. There had been insufficient monitoring of maintenance checks.

The management of medicines was not always safe. Some medicines for 2 people were signed for on the wrong day and risks to another person were not sufficiently recorded in their ‘as required’ protocol. Medicines administration was safe, and staff were trained and had their competency checked.

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. However, mental capacity assessments were not in place for some people. Action was being taken to address this. People were given choice in different aspects of their daily living.

People and relatives consistently told us they felt safe and protected from harm. Safeguarding systems were used to record concerns, which we could see were followed up.

Staffing levels were sufficient to meet people’s needs. Staff were recruited safely as relevant background checks had been completed. A small group of people were part of the interviewing panel when the role of home manager was being recruited to in 2023.

People and relatives provided positive feedback about Scissett Mount. Staff we spoke with reflected positively on the management team and said they felt supported. Meetings for people, relatives and staff were taking place and opportunities to feedback were available.

The provider developed strong working relationships with partners in the community. Weekly clinical meetings were effective in discussing people’s changing needs. An inter-generational reading event received positive feedback.

The management team were eager to make the necessary improvements in the service and were working with the local authority as well as a registered managers’ network.

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 (published 25 March 2023).

Why we inspected

We received concerns in relation to the safe management of medicines. As a result, we undertook a focused inspection to review the key questions of safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led key question sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Scissett Mount on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to the safe management of medicines, management of risks to people and systems of governance and oversight.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Scissett Mount is a care home registered to provide nursing and residential care to a maximum of 85 people. At the time of our inspection, the provider was delivering residential care to older people and those living with dementia. On the day we inspected this service, 68 people were living in the home.

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

The management of medicines was not found to be robust. Recording needed improvement along with the monitoring of fridge temperatures. Following our inspection, the home manager took action to address these issues. People said they received their medicines as prescribed. Staff responsible for medication management had received refresher training and competency checks.

We identified some areas for improvement in the recording of risks to people. The home manager took immediate action to address this. Staff demonstrated a good knowledge of risks to people.

People were safeguarded from the risk of abuse and systems in the home supported this. People felt safe living at Scissett Mount. There were sufficient numbers of safely recruited staff.

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.

The home manager was open with us about challenges the home faced and we saw action being taken to improve service delivery. Strong examples of lessons learned and continuous improvement were identified throughout our inspection. Systems used to identify shortfalls were effective as issues had been identified and were being acted on before our inspection.

People, relatives and staff were involved in the running of the home through meetings and surveys. Staff were working with a range of partners. The culture within the home was improving and feedback about the home manager was positive.

The premises was found to be clean and hygienic.

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 (6 February 2021).

Why we inspected

We received concerns in relation to the safe management of medicines, staffing levels, staff training and the safe moving and handling of people. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can see what action we have asked the provider to take at the end of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good overall based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Scissett Mount on our website at www.cqc.org.uk.

Follow up

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

Scissett Mount is a residential care home providing personal and nursing care to 13 people aged 65 and over at the time of the inspection. The service can support up to 55 people.

Scissett Mount is a purpose-built home and all bedrooms have en-suite showers. There is a large communal lounge, dining room, indoor bowling area and cinema room.

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

People said they enjoyed living at Scissett Mount and felt safe. There was a range of activities for people to be involved in. The home also had its own indoor bowls area and cinema room.

People and relatives were complimentary about the staff and management teams, saying they were kind, caring and very helpful. There was good communication with the home through weekly emails and phone calls with relatives.

Care plans and risk assessments identified people’s individual needs and provided guidance for staff on how to meet these needs. People received the support they needed to maintain their health and wellbeing. Medicines were safely managed and administered as prescribed.

The home was clean throughout and all staff were following the Personal Protective Equipment (PPE) guidance.

A robust quality assurance system was in place, with regular audits being completed and actions taken to address any shortfalls identified. Staff felt well supported by the registered and deputy managers, who were approachable and there were regular staff meetings.

There were enough staff on duty to meet people’s needs. The staff had completed the training they needed to carry out their roles. Floor managers had completed advanced care practitioner training.

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.

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 30 May 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service was registered with us.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

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.