Mount Pleasant Nursing Home Limited

Robust systems were in place to monitor safety, including audits of medicines, falls, incidents, complaints, infection prevention and control, environmental safety and health and safety checks. Health and safety systems, environmental monitoring, maintenance checks and equipment servicing provided assurance that risks were effectively managed. Staffing arrangements were regularly reviewed to ensure people's needs could be met safely. The environment was observed to be clean, well maintained and homely, with a pleasant atmosphere and a lovely fresh smell throughout the home.

People's needs were effectively assessed, planned for and reviewed. There was evidence of ongoing involvement from healthcare professionals, including GPs, physiotherapy and other specialist services. Care plans reflected people's current needs and risks and demonstrated regular monitoring of outcomes, including weight management, hydration, skin integrity and mobility. Staff received supervision, training and support to carry out their roles effectively.

The home demonstrated a strong focus on promoting people's independence, dignity and quality of life. Care planning and daily practice reflected an understanding that people had individual needs, preferences and life histories. Staff demonstrated a good understanding of treating people with dignity and respect, obtaining consent and supporting people in line with their wishes. The home recognised the importance of maintaining relationships with family and friends and there was evidence of a flexible and inclusive approach, including supporting family and friends to spend meaningful time together and share meals where this was important to people.

There was evidence that support was adapted when people's needs changed and that opportunities were provided for people to maintain interests, social connections and meaningful experiences. Activities were well embedded within the home and included outings, community engagement, one-to-one support and opportunities for people to continue doing things that mattered to them. Care plans reflected people's individual needs and preferences, and there were systems in place to gather and respond to feedback from people and their families.

There was a positive and supportive culture throughout the home. Staff consistently described effective teamwork, good communication and a shared commitment to providing high-quality care. Staff demonstrated a good understanding of safeguarding responsibilities and felt able to raise concerns, confident these would be listened to and acted upon. Staff spoke positively about the support they received through supervision, training and day-to-day management oversight. The registered manager was visible within the home and had established a culture of openness, support and continuous improvement. Governance systems were well established and included regular audits of care records, medicines, incidents, falls, complaints, staffing, maintenance and the environment. Systems were in place to identify trends, monitor quality, evidence learning and drive improvement.