Morewood Centre

Updated 27 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

Morewood Centre is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Morewood Centre does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The registered provider employed a manager who was registered with the Care Quality Commission. This means that they and the registered provider are legally responsible for how the home is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did:

Before the inspection, the registered provider completed a Provider Information Return (PIR). This is a form that asks the registered provider to give some key information about the home, what the home does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made our judgements in this report.

We reviewed other information that we held about the home such as notifications. These are events that happen in the home that the registered provider is required to tell us about. We considered the last inspection report and we had contact with commissioners who had a contract with the registered provider.

We spoke with three people who lived in the home and observed how staff interacted with them. We also spoke with the registered manager and three of the care staff.

We looked at the care records for three people and we looked around the premises with one person who lived there. We also looked at records in relation to the management of the home such as quality assurance checks, staff training and recruitment records, safeguarding information and accidents and incident information.

Updated 27 June 2019

About the service: Morewood Centre is a residential care home providing residential and respite care for up to ten people with a learning and physical disability; at the time of the inspection there were seven people using the service.

Morewood Centre is located in Alfreton and accessed by a long drive on land owned by the Derbyshire local authority; there is also a day service provision on this site. The home has two lounges and a dining room on each floor; there are five bedrooms with en-suite facilities on each floor. Public facilities are a short walk away from the home.

People’s experience of using this service:

Improvements had been made to ensure people were protected from harm. Risks had been identified and action taken to mitigate these. Risk assessments ensured people could continue to enjoy activities as safely as possible and maintain their independence. People’s diverse care and support needs were recognised, and staff enabled people to access activities when they could not access these services independently. Where potential abuse or harm had occurred, action was taken to prevent the risk of future harm. Care plans were detailed to guide staff to provide people’s care needs.

Improvements had been made to ensure people made decisions about their care. Where people were not able to make decisions for themselves, capacity assessments had been completed and best interest decisions had been made. Where restrictions had been identified; applications to restrict people of their liberty had been made to ensure this was lawful. This meant people were supported to have maximum choice and control of their lives; the policies and systems in the service supported this practice.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Staff were available at the times people needed them and staff had received training so that people’s care and support needs were met.

People received support from health care professionals where they needed this to keep well. Staff supported people to attend healthcare appointments and liaised with their GP and other professionals as required to meet people’s needs. People were supported to eat and drink and there was a choice of foods available. Specialist diets were catered for.

People were treated with kindness by staff who knew them well. We saw that their privacy and dignity was respected, and people were confident that staff supported them in the way they wanted.

People knew how to make complaints. They were confident that the staff and registered manager would respond to any concern and they could approach them at any time. Complaints were managed in line with the provider’s complaints procedure and people were informed of any investigation and actions.

Quality assurance systems were in place to assess and monitor the quality of the service. There was regular communication with people and staff whose views were gained on how the service was run; their views were used to make continuous improvements; more information is in the full report

Rating at last inspection: The last rating for this service was Requires Improvement (Published May 2018) and areas for improvements were identified. At this inspection we found improvements had been made.

Why we inspected: This was a planned unannounced inspection.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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