Muscliff Nursing Home

Updated 1 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 8 February 2022 and was announced. We gave the service one days’ notice of the inspection.

Updated 1 March 2022

This unannounced comprehensive inspection took place on 21 November 2018. At our last inspection in March 2016 we rated the service as Good and there were no breaches of the legal requirements.

Muscliff Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Muscliff Nursing Home provides personal and nursing care and treatment for up to 40 people some of whom may be living with dementia and or have nursing needs in Bournemouth. There are bedrooms on the ground and first floor and there a number of communal lounge and dining areas on the ground floor. At the time of the inspection there were 35 people living at the home.

There was a manager in post who had been registered for eight years. 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.

People were protected from potential abuse and avoidable harm by staff who were knowledgeable about recognising and reporting different signs of abuse.

There were enough appropriately qualified staff available on each shift to ensure people were cared and supported safely. There was a stable staff team at the service.

Risks to people were well managed and medicines were managed effectively. People were protected by the prevention and control of infection.

There was a system in place to review and learn from incidents when things went wrong.

Staff received training to meet the individual needs of people. Staff told us they felt well supported to carry out their roles and told us everyone worked very well together as a team for the benefit of the people living at Muscliff Nursing Home.

People had access to nutritious, home cooked food that they enjoyed and were given choice in their menu selections.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's independence and wellbeing was enhanced by the environment of the home.

There was an open, friendly and homely atmosphere. People and staff were relaxed and comfortable with each other. People were supported with kindness and compassion by staff who knew them and understood the care they needed.

People were treated with dignity and respect and were supported to make their own choices.

People received outstanding personalised care and support in the ways they preferred. Staff took the time to get to know people and their life and social histories so they could truly understand their experiences. People’s needs and preferences were consistently assessed or planned for and met.

The responsive care and support people received had an extremely positive impact on their lives. People and their representatives were actively involved in developing and contributing to their care plans.

There was an emphasis on personalised, meaningful activity that was based on people’s interests and experiences. People took part in individual and group activities and events both at Muscliff Nursing Home and in the local community.

Complaints and concerns were encouraged and seen by the provider and registered manager as part of driving improvement.

The registered manager and provider demonstrated its commitment to promote a positive culture within the home by being open and transparent to new ideas and collaborative working which had a positive impact on the care provided to people.

The service was led by a management team that was approachable and respected by the people, relatives, professionals and staff.

There was a strong emphasis on quality assurance within the service which was led by the management team within the service. There was an emphasis on continuous improvement which was done through the results of any audits, learning from complaints and incidents and accidents. These were all used as a learning opportunity, and feedback was provided to staff to drive improvements.