Morden Grange

Updated 20 April 2018

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 comprehensive inspection took place on 7 March 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit so the registered manager would be available to facilitate the inspection.

The inspection was carried out by one adult social care inspector from the Care Quality Commission (CQC).

Prior to the inspection we looked at information we had about the service. This included the last inspection report, notifications of accidents and incidents. We also received a provider information return (PIR) from the provider. This form asks the provider to give us some key information about what the service does well and any improvements they plan to make.

Before our inspection we contacted Bolton local authority commissioning team and the local safeguarding team. We contacted the Healthwatch Bolton to see if they had any information about the service. Healthwatch England is the national consumer champion in health and care. This was to gain their views on the care delivered by the service.

During the inspection we spoke with the registered manager, the senior in charge of the home, four people who used the service and two members of staff. With consent, we looked at two care records for people who used the service, training records, staff supervision records, service user satisfaction surveys, meeting minutes and audits. Staff personnel files were held at head office. We received written confirmation for the Human Resource department that all staff had been safety recruited.

Updated 20 April 2018

Morden Grange is a residential care home for eight people with assessed mental health needs. At the time of the inspection the home had full occupancy. The home is a large converted two storey house with all single rooms, bedrooms and bathrooms were situated on both floors. There was a lounge, kitchen and dining room on the ground floor. The home is close to local amenities and to Bolton town centre.

The provider has three small care homes in Bolton and there is a registered manager that oversees all three homes. 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.

At our last inspection we rated the serviced good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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People remained safe the home. Staff had undertaken training in safeguarding vulnerable adults and a safeguarding policy and procedure was in place. Any accidents or incidents were managed appropriately. Medicines were safely managed. Robust recruitment checks were in place for all new staff.

People’s needs were met by good staffing levels. Staff had completed essential training to equip them to carry out their role effectively. Staff received regular supervision meetings with management.

The service was working within the legal requirements of The Mental Capacity Act 2005 (MCA).

People received kind and compassionate care. People’s privacy, dignity and independence was promoted. Staff knew what support people required and how this was offered.

Care records were person centred and contained detailed information. Care plans were reviewed and updated as necessary. Systems were in place to deal with any complaints or concerns.

The registered manager had systems in place to monitor and assess the quality of service and the care provided. The culture within the home was open and transparent. The registered manager worked in partnership with other agencies.