Mount View House

Right Support People's independence was promoted, and staff encouraged people to participate in their care decisions. People's care plans were person centred and reviewed regularly. Risks associated with people's care were assessed to identify how their care could be provided safely and in the least restrictive way. Staff supported people to take part in meaningful activities and pursue their interests. However, the service had struggled with staffing levels and this had impacted the consistency of some people's care and access to the community. We discussed this with the leadership team who evidenced steps taken to promote recruitment and retention of staff. The service was clean, and evidence of ongoing repair was seen. The provider didn't consistently complete cleaning records, we made a recommendation around this.

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.

Right care People received kind and supportive care. Staff respected people's privacy and dignity. They understood and responded to people's individual needs. People had access to health care professionals when they needed them. Medicines were not always recorded accurately; records contained gaps and people's as and when medicines did not always have clear directions. We made a recommendation around this. Following our inspection, the provider shared additional evidence to demonstrate medication recording issues had been addressed with staff, and amendments had been made to improve records.

Right culture People received good quality care, support and treatment because staff were trained in areas related to their needs and staff received regular supervision from support leaders. Feedback from staff on the culture within the service was mixed. Some staff felt morale was low and others felt it was improving after a period of change. Relatives were generally happy with the support being provided and the outcomes people had achieved. However, some relatives were concerned with the level of community access and use of agency.

Positive feedback on partnership working was provided by visiting professionals. Systems were in place to monitor and learn from incidents in the service. Recent audits for medication had not been completed. We made a recommendation around this.