29 March 2023
During an inspection looking at part of 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.