CQC report explained · a residential care home
What the CQC found at Morgan House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and there were enough staff to support people safely. One person's risk assessments had not all been reviewed when required, but the manager updated them during the inspection.
- Effective?
- Good
- People had personalised care plans, relevant training and support with food, health, communication and independence. Staff worked with health and social care professionals and followed mental capacity law.
- Caring?
- Good
- Staff treated people with warmth, dignity and respect. They understood individual communication styles, gave people time to respond and supported privacy, relationships and independence.
- Responsive?
- Good
- Support was tailored to people's preferences, communication needs and goals. People were supported with meaningful activities, new experiences, social contacts and everyday living skills.
- Well-led?
- Good
- Management was visible and approachable, and relatives and staff were involved in improving the service. The provider used feedback, investigated concerns and worked with other organisations.
What inspectors found, January 2022
Morgan House rated Good; inspectors found kind, personalised care, with some records and staffing processes needing attention.
This was the first comprehensive inspection of the service. It was unannounced and took place on 9 and 13 December 2021. One inspector spoke with people, relatives, staff and a visiting nurse, observed care and checked records.
Inspectors found that people were safe, treated with kindness and supported to make choices. Staff helped people take part in activities, develop skills, keep in touch with others and access healthcare. Care plans were personalised and staff understood people's communication and support needs.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found good care and management at the time of the inspection, but a Good rating does not mean that no improvements are needed.
Choice and independence
Staff focused on what people could do and supported them to make choices, try new things and develop skills.
“Staff supported people to have the maximum possible choice, control and independence.” from the report
Kind and respectful care
Inspectors found that staff understood people's individual needs and treated them with compassion, dignity and respect.
“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
Personalised support
Care plans reflected people's health, communication, sensory needs, preferences and aspirations. Staff adapted activities and support to each person.
“People had care and support plans that were personalised, holistic, strengths-based and reflected their needs and aspirations” from the report
Meaningful activities
People were supported to take part in activities and interests that mattered to them, including social clubs, exercise, cafés and walks.
“People were supported to participate in their chosen social and leisure interests on a regular basis.” from the report
Open management
Relatives and staff described management as approachable and communicative. The provider sought feedback and acted on concerns.
“Management were visible in the service, approachable and took a genuine interest in what people, staff, family, advocates and other professionals had to say.” from the report
Risk assessments were overdue
needs fixingOne person's risk assessments had not all been reviewed when required. The manager acted immediately and updated them by the second day of the inspection.
“We found one person's risk assessments had not all been reviewed when required.” from the report
Staff turnover
needs fixingRelatives reported high staff turnover. The provider was recruiting, but changes in staff could make it harder to maintain consistent relationships and understanding of people's needs.
“People's relatives confirmed a current high staff turnover; however, they were aware the provider was actively recruiting, and they were being kept up to date.” from the report
Recruitment checks
needs fixingInspectors queried one part of the staff recruitment files. The manager reviewed the current recruitment process straight away.
“We queried one part of staff recruitment files and the manager acted immediately and reviewed their current recruitment process.” from the report
Restrictive intervention plans
needs fixingA plan to reduce restrictive intervention was in place, but the provider was still completing individual plans for each person.
“A plan was in place to reduce restrictive intervention. The provider was in the process of completing these for each person.” from the report
- 01How do you keep staffing consistent while there is high staff turnover?
- 02How do you make sure every person's risk assessment is reviewed on time?
- 03What recruitment checks were reviewed after the inspection, and how are they now monitored?
- 04Has a completed restrictive intervention reduction plan been put in place for each person?
- 05How will you make sure activities continue to reflect the person's interests, choices and goals?
This was the first comprehensive inspection and covered all five key questions, including infection prevention and control; the previous inspection was a targeted infection control inspection and was not rated. This explanation was written from the published report of 15 January 2022 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.
What inspectors found, December 2020
Inspected but not rated; inspectors found infection-control gaps during a COVID-19 outbreak, alongside some effective safety measures.
This was a targeted inspection on 5 November 2020. Inspectors looked at specific concerns about preventing and controlling infection after positive COVID-19 cases among people using the home and staff.
The home was clean and tidy. It had a daily infection-control checklist and regular surface cleaning. Inspectors were also assured about visitors, social distancing, personal protective equipment, testing and safe admissions.
However, infection-control audits had not been completed since April 2020. Not all staff had completed infection-control training when they started, and training had not been updated since the outbreak. Inspectors were not always assured that outbreaks could be effectively prevented or managed.
The home was inspected but not rated. This was because inspectors only examined part of the Safe question. The other four questions were not assessed, and the home had not previously been inspected.
Clean environment
Inspectors found the home clean, tidy and without unpleasant smells.
“The home was clean and tidy and free of malodour.” from the report
Daily cleaning checks
The provider had a daily infection-control walk-around checklist, including regular surface cleaning.
“The provider completed a daily walk around infection control checklist, which included a two-three-hour surface wipe down procedure.” from the report
Several safety measures
Inspectors were assured about the use of protective equipment, testing, visitor controls, social distancing and safe admissions.
“We were assured that the provider was using PPE effectively and safely.” from the report
Outbreak management
seriousInspectors were not always satisfied that the provider could prevent or manage infection outbreaks effectively.
“We were not always assured that the provider was making sure infection outbreaks could be effectively prevented or managed.” from the report
Training and audits
needs fixingSome staff had not completed infection-control training when they started. No staff had received updated training since the COVID-19 outbreak, and the planned quarterly audit had not been completed since April 2020.
“No staff had their infection control training renewed since the outbreak of covid-19 in the home.” from the report
- 01Have all current staff completed infection-control training, including updated training since the COVID-19 outbreak?
- 02When was the most recent quarterly infection-control audit, and what actions were taken in response?
- 03What changes have been made to prevent and manage infection outbreaks effectively?
- 04How are the daily infection-control checks and surface cleaning recorded and reviewed?
- 05What evidence can you provide that the infection-control concerns identified in this report have been addressed?
This was a targeted inspection of specific infection-prevention and control concerns within the Safe question; the other questions were not assessed and no ratings were given. This explanation was written from the published report of 17 December 2020 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.
Every inspection of Morgan House
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- August 2019
Registered with the Care Quality Commission on 22 August 2019.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Staffordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,230 a week. 85 can care for a couple. 10 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.