Murton Grange

Updated 14 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out this inspection.

Service and service type

Murton Grange is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Murton Grange is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. We visited the service on 29 March and 3 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who lived at the service and 3 relatives about their experience of the care provided. We spoke with 10 staff including the registered manager, the provider’s regional director, 2 deputy managers,1 team leader, 4 support staff and the cook. Not everybody who used the service was able to communicate verbally, so we spent time observing interactions between staff and people.

We reviewed a range of records including 3 people's care records and 4 medicines records. We looked at 3 staff recruitment records and a variety of records relating to the management of the service including meeting minutes and audits.

After the inspection

We received email feedback from 6 staff members and 5 professionals who work with the service. On 13 April 2023 the registered manager sent us further examples of outstanding responsive care.

Updated 14 July 2023

About the service

Murton Grange is a residential care home providing personal care to up to 10 people. The service provides support to autistic people and people with learning disabilities. At the time of our inspection there were 10 people using the service. People’s rooms were over 3 floors.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

Murton Grange is larger than what is usually considered practicable to provide person-centred care

and support for autistic people and people with learning disabilities. However, the service was able to demonstrate they met the principles of ‘right support, right care, right culture.’ People received safe and effective person-centred care and support from staff who knew them well.

People received exceptionally responsive support from dedicated, highly motivated and compassionate staff. Staff fully understood people's needs and wishes and supported them to achieve their goals. Staff knew people extremely well and supported them to promote and improve their independence and quality of life. People were supported by a stable staff team which provided a consistently high standard of care and support.

People had personalised and tailored positive behaviour support (PBS) plans which met their individual needs. PBS plans provided staff with detailed guidance to promote a positive quality of life for people and identified when they needed to intervene to prevent or reduce the likelihood of distressed behaviour.

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 extremely kind and compassionate care from staff who were passionate about achieving the best outcomes for them. They worked alongside other professionals to empower people to achieve their goals. They respected people's abilities and strengths and went the extra mile to ensure people's achievements were celebrated.

Staff understood and responded to people’s individual needs. Staff understood how to keep people safe and promoted positive risk-taking where appropriate. Staff had training on how to recognise and report abuse and they knew how to apply it. People's medicines were managed safely.

Right Culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the registered manager and staff team. The registered manager led by example and was open about the high expectations they had of all the staff team. Staff supported people to live a quality life of their choosing. They evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

The staff team were valued by the provider and registered manager, and they were recognised for their achievements. Staff were complimentary about the support they received from the management team.

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

Rating at last inspection

The last rating for this service was good (published 17 April 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We undertook a focused inspection to review the key questions of safe and well-led only. However, we identified exceptional practices in relation to the provider’s approach to person-centred care, so a decision was made to include the key question of responsive.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Murton Grange on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.