31 January 2018
During a routine inspection
When we completed our previous inspection on 5 January 2017, we found concerns relating to medicines administration, staff supervision and the provider's quality and assurance systems. At this inspection, improvements had been made to meet the relevant requirements.
Morris Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Morris Grange accommodates 71 people across three separate units, each of which has separate adapted facilities. At the time of our inspection, there were 55 people who used the service. One of the units specialises in providing care to people living with dementia who have behaviours that need to be managed. The other units provide residential and nursing care.
Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective, responsive and well-led to at least good. During this inspection we found the provider had made improvements in all these areas.
At the time of inspection the registered provider was in administration and a management company was overseeing the operation of the home on behalf of the administrators. The management company were providing regular updates to CQC regarding the home for our monitoring purposes. Where we refer to the provider in this report we are referring to the administrator.
The service had a registered manager. 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.
There were systems and processes in place to protect people from the risk of harm. Staff were able to tell us about different types of abuse and were aware of action they should take if abuse was suspected. They were confident that the registered manager would address any concerns.
Medicines were stored and administered safely and the premises were well maintained to keep people safe. Some areas were in need of renovation, but essential repairs to keep people safe were completed.
Risk assessments were completed to reduce the risk of harm. Accidents and incidents were analysed to reduce the risk of reoccurrence.
Staffing levels were sufficient to meet people's needs. There were safe recruitment and selection procedures in place and appropriate checks had been undertaken before staff began work. Staff received the support and training they needed to give them the necessary skills and knowledge to meet people's assessed needs. Staff had requested more practical training and this had been organised.
People were provided with sufficient food and drink to maintain their health and wellbeing. Staff supported people to access healthcare professionals and services.
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.
There were positive interactions between people and staff. Staff knew people well and promoted their independence. Care was person-centred and people were provided with choice. Staff were kind and treated people with dignity and respect. People told us they were happy and felt well cared for.
Care records contained information about people's needs, preferences, likes and dislikes. Staff understood people were individuals and would not tolerate discrimination.
Complaints and feedback were taken seriously and action was taken to address any concerns. The registered manager and provider monitored the quality of service provided to ensure that people received a safe and effective service which met their needs.