6 July 2023
During an inspection looking at part of the service
Morris Care Centre is a nursing home providing personal and nursing care to up to 96 people. The service provides support to older people, people living with dementia, people with physical disabilities, learning disabilities or autistic people and younger adults. At the time of our inspection there were 79 people using the service. The home was split into three separate units, each unit had kitchenettes and communal spaces.
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.
People’s experience of using this service and what we found
Right Support:
People did not always receive their medicines safely or as they were prescribed. Staff recruitment and induction training processes promoted safety. Staff knew how to consider people's individual needs, wishes and goals.
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:
Health professionals provided mixed feedback about their directions not always being followed. People’s mealtime experience required improvement so that people had an accurate menu. To choose from. People were not always treated with dignity and respect.
Right Culture:
The provider failed to ensure the governance systems in place were always effective in delivering high quality care and support. Appropriate incidents were being reported to the Care Quality Commission. The provider sought feedback from people and those important to them and used the feedback to develop the service. The principles of the duty of candour were being followed at the home.
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 requires improvement (published 6 May 2023) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.
Why we inspected
We undertook a targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about the safe administration of medicines, staffing levels and pressure care treatment. A decision was made for us to inspect and examine those risks.
We inspected and found there was a concern with the administration of medicines, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe, effective, and well-led.
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.
Enforcement
We have identified breaches in relation to safe administration of medicines and the providers governance at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.