Mountview

The last rating at the service was Good (published 10 January 2018). The rating has changed to Requires Improvement.

We undertook this assessment due to the time since our last assessment. We looked at 8 quality statements. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgments about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At this assessment we found the provider was in breach of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014 in relation to regulation 10 (Dignity and respect), regulation 15 (Premises and equipment) and regulation 11 (Need for consent). We have asked the provider for an action plan in response to the concerns found at this assessment.

People were not treated with dignity and respect due to the provider running another business at the care home on the first floor,without ensuring a separation of the two businesses.This resulted in employees from the other business having regular access through people’s home to get to their place of work, and through people’s back garden to access a training room situated in their back garden.The provider had failed to assess, plan for or mitigate these risks to people living at Mountview of another business operating there. The provider was not working within the principles of the Mental Capacity Act (MCA) 2005 to assess if people had mental capacity to decide about consent to the shared environment with the other business, and to ensure best interest decision making was followed where they lacked capacity to decide

There were systems and processes in place to manage and follow up on accidents and incidents. Staff understood and adhered to their responsibilities to safeguard vulnerable adults. Staff understood and managed risks to people’s safety.

Staff liaised with other health and social care professionals and those important to people to ensure decisions were made in people’s best interests where they did not have capacityregardingtheir care and support needs.

There were enough staff with the right skills, qualifications and experience. The provider made sure staff received training and regular supervision to maintain high-quality care.Staff involved people intheir care provisionand supported them to make choices about aspects of daily life,andpeoplewere encouraged tomaintainrelationships with their relatives.