Paul Murphy Centre

Updated 2 September 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was conducted by 1 inspector, 1 medicines inspector and 1 Expert by Experience (ExE). An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

The Paul Murphy Centre is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 25 May 2023 and ended on 6 June 2023. We visited the location’s service on 25 May 2023 and 27 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who worked with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed staff interacting with people who used the service and spoke with 5 relatives about their experience of the care provided. We spoke with 6 members of staff including the business manager (who is also the nominated individual), registered manager, new incoming manager and two senior support workers and one support worker. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included individual care records and 4 medicine administration records. We spoke with staff and looked at the governance arrangements for the safe handling of medicines. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures and audits were reviewed.

Updated 2 September 2023

About the service

The Paul Murphy Centre is a residential care home providing personal care for up to 8 people with a learning disability and / or autism. At the time of our inspection, 5 people were living at the Paul Murphy Centre. There was no one accessing the respite service on the day of our inspection however some people were accessing this element of the service over the weekend.

People’s experience of using this service and what we found

Right Support: Medicines were received, stored, and disposed of safely. However, staff involved in handling medicines did not always follow the home’s own policies for medicines record keeping and administration. This meant that we could not be assured that medicines were given safely as prescribed.

Support that was provided was person centred.

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: People received kind and person-centred care. Staff responded to individuals needs well and supported them in a person centred manner. The service worked well with external health care professionals where needed.

Right Culture: People received good quality care from the service and the service knew individuals well and responded well to their needs. Individuals were involved in the service delivery and also planning of their care. The service engaged those who lived and worked at the service and acted on feedback. Feedback from relatives was very positive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (Published 27 March 2021)

At this inspection we found the provider to be in breach of one regulation. The service remains rated requires improvement.

Why we inspected

We carried out an announced/ unannounced comprehensive inspection of this service on 27 March 2021. A breach of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Paul Murphy Centre on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified a breach in relation to safe use of medicines at this inspection. We also made a recommendation regarding the providers governance systems.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.