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What the CQC found at Malborn Teroan House

Goodpublished 12 November 2021, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable safeguarding training, risk assessments, staffing and infection-control arrangements. Minor discrepancies in hand-transcribed medicines notes were corrected during the inspection.
Effective?
Good
Care plans were detailed, regularly reviewed and followed by staff. People received support from health professionals when needed and were helped to develop independent living skills.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions about their care, and staff supported family links where appropriate.
Responsive?
Good
Care plans focused on people's choices, needs and desired outcomes. People were supported with hobbies, activities, communication needs, family links and complaints.
Well-led?
Good
The home had an on-site registered manager and quality checks were in place. Staff and external professionals gave positive feedback about the leadership and outcomes for people.
The latest report, explained

What inspectors found, November 2021

Malborn Teroan House rated Good; inspectors found safe, kind and personalised care, with minor medicine-record discrepancies corrected during the inspection.

This was the first inspection since the home registered. It was an unannounced, planned comprehensive inspection on 13 October 2021. One inspector spoke with people, staff and professionals, observed interactions, and checked care plans, medicines, recruitment, training and quality records.

The home supported six adults with mental health support needs or issues linked to drug or alcohol misuse. Inspectors found enough trained staff, suitable care plans, safe medicines processes, a clean environment and appropriate safeguarding arrangements.

People were involved in decisions about their care and were supported to develop independence. Staff were described as kind and respectful. The home had helped some people move to less supported living, while continuing to support those who needed longer-term care.

The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. This was the home's first inspection, so there was no previous rating to compare.

What inspectors praised
  • Enough skilled staff

    Inspectors found enough trained and experienced staff to meet people's needs. Staffing could increase when someone needed extra support.

    “People were supported by enough skilled staff to meet their assessed care needs.” from the report
  • Personalised support

    Care plans recorded people's needs and the outcomes they wanted. Staff followed these plans and reviewed them when needed.

    “People had comprehensive care plans in place which identified the support they needed.” from the report
  • Kind and respectful care

    People were treated with kindness, dignity and respect. Staff listened to concerns and supported people to make their own decisions.

    “People were supported by staff who took the time to listen to them and help them to make sense of their concerns and anxieties.” from the report
  • Support with independence

    People were helped to maintain and increase their independent living skills. Some moved on to less supported community placements when ready.

    “Some people had been enabled to move on from the service, into less supported community placements, when they were assessed as being ready.” from the report
  • Positive leadership

    The registered manager was based on site, and staff said they felt supported. Quality audits and action plans were used to monitor the home.

    “The provider had effective quality monitoring arrangements in place to ensure the service was of good quality.” from the report
What inspectors were concerned about
  • Minor medicines-record discrepancies

    minor

    Inspectors found that some hand-transcribed medicines notes did not exactly match the prescriber's instructions. The registered manager corrected the minor discrepancies immediately.

    “We discussed with the registered manager the importance of ensuring hand transcribed notes, on the medicines administrations records, were exactly in line with the prescriber's instructions. The registered manager took immediate action to correct minor discrepancies.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure hand-transcribed medicines records always match the prescriber's instructions?
  2. 02How would you support my relative to manage their own medicines, if appropriate?
  3. 03What legal restrictions or authorisations would apply to my relative, and how would these be reviewed?
  4. 04How would you support my relative to develop independent living skills or move to a less supported placement?
  5. 05How would you involve my relative and our family in reviewing the care plan and maintaining family links?

This was an unannounced, planned comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led; it was the home's first inspection. This explanation was written from the published report of 12 November 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Malborn Teroan House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Malborn Teroan House →

  2. September 2020

    Registered with the Care Quality Commission on 28 September 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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