About the service: Moundsley House is part of a purpose built care village development which consists of five care homes. It is registered to provide accommodation, personal and nursing care for adults. People with a dementia related condition lived in Clarence House which was part of Moundsley House. There were 47 people living at home on the days of the inspection.

People’s experience of using this service: Evidence was not fully available at the time of the inspection of all the premises checks and tests which had been carried out. New checks and tests on the electrical installations, gas and legionella were carried out following our inspection. Signage around the home was not always clear for those living with a dementia related condition. We have made a recommendation about this.

People and relatives spoke positively about the caring nature of staff. One relative told us, “I would describe this as a home from home, I feel like this is my second family now.” We observed positive interactions between people and staff.

Electronic care plans were not always accurate and some were more detailed than others. There was an activities programme in place. Several relatives told us that more activities would be appreciated. Musical entertainment and exercise were carried out on the days of our inspection.

Audits and checks were carried out to monitor the quality of the service. These were not always effective at ensuring that shortfalls were identified and timely action taken.

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

Rating at last inspection: Good (previous report 23 June 2016)

Why we inspected: This was a planned inspection in line with Care Quality Commission scheduling guidelines for adult social care services.

Action we told provider to take: You can see what action we told the provider to take at the back of the full version of the report.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit. If any concerning information is received we may inspect sooner.

The inspection was unannounced and took place 19 and 20 April 2016.

Moundsley House is registered to provide accommodation for personal and nursing care for adults who may have a dementia related illness for a maximum of 65 people. There were 47 people living at home on the day of the inspection. The home is arranged over two units with communal living and dining areas in both units.

There was a registered manager in place who covered all five homes at this site. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. Each home had a unit manager who reported to the registered manager.

People told us they felt safe and staff were available to support them. People were helped by staff to reduce the potential risk of harm and free from the risk of abuse. Medicines were given to people as prescribed or as they needed them. People felt they had staff that were always around and they did not have to wait for assistance. Staff at the home agreed they were able to look after people and meet their needs, without delay.

Assessments of people’s capacity to consent and records of decisions had not always been completed. The provider could not show where people had not been able to give their consent to care and treatment or that the relevant people had been consulted. People told us they liked the staff and felt they knew how to look after them. Staff also ensured they listened and responded to people’s day to day choices about their care and support.

Staff were provided with training that they told us helped them understand and know how to provide care. All staff were supported by the unit manager and provider and staff told us they were able to speak to them about advice and guidance when needed.

People enjoyed the choice of meals and had been supported where further assistance or particular diets were needed. People had accessed other health and social care professionals when needed to support their health. People were helped to contact and arrange appointments with services which were not available within the home. They had regular visits from one local GP surgery when needed.

Staff knew the care needs of people who felt involved in their care and treatment. Staff were clear about the levels and expected care needs of people at the home. People’s privacy and dignity were respected and staff were kind to them. People had been involved in the planning of their care and relatives were involved in supporting their family members care.

People were able to spend time doing the things they enjoyed and spent their time in an environment they liked. People and relatives both felt that staff were approachable and listen to their requests. Staff also felt confident to raise any concerns of behalf of people.

The care and nursing staff spent time with people and staff and people were positive about them. The registered manager and provider had kept their knowledge current, which had been shared across the five homes unit managers. The provider and manager had made regular checks to monitor the quality of the care that people received and look at where improvements may be needed.