Archived: Mornington Hall Care Home

Updated 18 May 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place over two days on the 6 and 7 April 2016 and was unannounced. The inspection team consisted of two inspectors, a specialist pharmacy inspector and a specialist with a background in nursing and dementia care.

Before the inspection we reviewed the information we already held about the service. This included details of its registration, previous inspection reports, safeguarding alerts and statutory notifications sent to us by the provider. We contacted the local authority with responsibility for commissioning care from the service to gain their view.

During the inspection we spoke with eight people that used the service and seven relatives who were visiting the home during the course of our inspection. We spoke with 22 staff; this included the registered manager, the administrator, the clinical services manager, the chef manager, six nurses, nine care assistants, two activities coordinators and the maintenance manager. We observed how staff interacted with people. We looked at 18 sets of care records including care plans, risk assessments and treatment records. We looked at eight staff recruitment, supervision and training records. We viewed various audits at the service and looked at policies and procedures including the safeguarding adults and complaints policies.

Updated 18 May 2016

When we last inspected this service in July 2014 we found two breaches of regulations. This was because there were not always enough staff working at the service to ensure people’s safety and treatment was not always given in a safe manner. At this inspection we found improvements had been made and that they now met the previous legal breaches.

The home provided accommodation with nursing and personal care for up to 120 adults. At the time of our inspection 115 people were living at the service. The home was divided into four units each capable of accommodating up to 30 people. One unit specialised in residential care, one in nursing care, one in nursing and dementia care and one in residential and dementia care.

The service had a registered manager in place. 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.

Staff did not always have access to appropriate training, in particular with regard to dementia training.

We found one breach of Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

There were enough staff working at the service to meet people’s needs in a safe manner. Checks were carried out on new staff before they began working at the service. Risk assessments were in place which included information about how to mitigate any risks people faced. Staff had undertaken training about safeguarding adults and were aware of their responsibilities for reporting any allegations of abuse. Medicines were managed appropriately. Safety checks were carried out at the service including fire safety checks.

Staff had access to regular training and supervision. The service operated within the Mental Capacity Act 2005 and people were supported to make choices where they had capacity to do so. This included choices about what people ate and drank and people told us they were happy with the food provided. People had access to health care services as required.

People and relatives told us staff behaved in a caring manner and that people were treated with respect. Staff understood how to promote peoples dignity.

People were involved in developing their care plans which were regularly reviewed. People had access to various activities. People knew how to make complaints and complaints were responded to appropriately.

People that used the service and staff told us they felt the management team was open and supportive. The service had various quality assurance systems in place, some of which included seeking the views of people that used the service.

Care plans did not include sufficient information about people’s life history and their likes and dislikes and we made a recommendation about this.