Background to this inspection
Updated
6 July 2017
We carried out this comprehensive inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’
This inspection visit took place on 06 June 2017 and was unannounced.
The inspection team consisted of an adult social care inspector.
We spoke with a range of people about the service. They included six people who lived at the home, one relative, the registered manager, and three staff members. Prior to our inspection visit we contacted the commissioning department at the local council. We did not receive any information of concern about the service.
We reviewed the Provider Information Record (PIR) we received prior to our inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This provided us with information and numerical data about the operation of the service. We used this information as part of the evidence for the inspection. This guided us to what areas we would focus on as part of our inspection.
We looked at care records of two people who lived at the home, staff training and recruitment records and arrangements for meal provision. In addition we looked at staffing levels and records relating to the management of the home. We also checked the building to ensure it was clean, hygienic and a safe place for people to live.
Updated
6 July 2017
Murreyfield House is a care home that is registered to provide accommodation and personal care to 23 older people, including those with dementia related conditions. The property consists of two large houses that have been converted into a care home and adapted to meet the needs of older people. The home is situated on one of the main roads into the city centre so it is close to transport links and other local amenities.
At the last inspection in January 2015 the service was rated Good. At this inspection we found the service remained Good.
People who lived at the home told us they were content and felt with the staff who looked after them. We observed staff providing support for people throughout our inspection visit. We found they were kind and patient and this was confirmed by people we spoke with.
We found by looking at appropriate documentation and talking with staff they had been recruited safely, received ongoing training relevant to their role and supported by the registered manager. They had the skills, knowledge and experience required to support people in their care. Staffing levels were sufficient to meet the needs of people who lived at the home.
Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. Care records showed they were reviewed and any changes were recorded.
We looked around the building and found it had been maintained, was clean and hygienic and a safe place for people to live. We found equipment had been serviced and maintained as required
Medicines had been checked on receipt into the home, given as prescribed and stored and disposed of correctly. We looked at medication administration records of people who lived at Murreyfield House and found them to be correct and up to date.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People told us they had choices of meals and there were always alternatives if they didn’t want what was on offer. We confirmed this by our observations at lunchtime. Care records we looked at described people’s food preferences and any allergies. Comments were positive about the quality of food and included, “We get plenty and fortunately we have good cooks.”
People who lived at the home told us staff and the registered manager had a caring and supportive manner. Comments from people who lived at the home included, “The staff make me feel I'm at home here. They are very friendly and we like to have a laugh together.”
The registered manager had a complaints procedure which was made available to people on their admission to the home and their relatives. No complaints had been received. People who lived at the home told us they were aware of the who to talk with if they had any concerns.
The registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits, staff and ‘resident’ meetings to seek their views about the service provided.