What the CQC found at Morley Manor Residential Home

People and relatives said staff were kind and responsive. Inspectors observed positive and respectful interactions.

“We observed staff interactions between people to be positive and respectful.” from the report

Care plans had been updated, reflected people's needs and included more detail about their conditions. Person-centred care was no longer in breach of regulation 9.

“People's care plans had been updated. Care plans were person centred and covered more details around people's conditions.” from the report

People were offered drinks and snacks, and relatives were positive about the food and choices available.

“People were supported to have enough to eat and drink.” from the report

The home had made improvements in applying the Mental Capacity Act. Appropriate DoLS and decision-specific best interest decisions were in place.

“The provider had completed decision specific capacity assessments and best interest decisions where people lacked capacity.” from the report

Safeguarding referrals and required notifications had been completed. Staff had safeguarding training and knew how to respond to incidents.

“Staff had completed safeguarding training and had good knowledge of responding to incidents.” from the report

People were given discontinued medicines, another medicine was stopped suddenly, and records showed missing or unexplained doses. Some allergy information and administration records were also incomplete.

“Three people were given medicines that had been discontinued, no evidence could be provided that the GP had recommenced them.” from the report

Staff did not always supervise people at risk of choking. Incidents were not consistently investigated or used to prevent the same problems happening again. Environmental hazards were also found.

“We found staff failed to supervise people who were at risk of choking.” from the report

People waited for food and were not supervised when needed. The home was not using a dependency tool to work out staffing requirements.

“Staff deployment was not effective to ensure people's needs were met in a timely way.” from the report

The home could not show that all required employment checks had been completed before recently recruited staff started work.

“There was a lack of evidence to confirm if employment checks had been completed before they started.” from the report

There was no registered manager, and audits did not identify serious problems with medicines, recruitment and safe care. Improvement actions were incomplete or late.

“Quality assurance systems had failed to identify the areas of concern we highlighted during our inspection around management of medicines, recruitment and provision of safe care.” from the report

Although relatives could raise concerns, the home had not taken action in response to concerns recorded in resident meeting minutes. End-of-life wishes were also not always recorded.

“We reviewed resident meeting minutes and found no action was taken when people raised concerns about the service.” from the report