Archived: Mossley Manor Care Home

We found that the provider had taken action to address our concerns which were with regards to the safety and suitability of the premises and management of fire safety risks.

We found that people who used the service, or those acting on their behalf, had consented to the care and support they received. For example people and those acting on their behalf had been involved in care plan reviews. The manager also had a better awareness of the procedures which were in place to ensure that people who lacked capacity received the support they needed to make decisions for themselves and to ensure decisions were made in the person's best interests.

Improvements had been made to the home environment since our last visit. However, we found that areas of the home needed further improvements to ensure the welfare and safety of people who used the service were fully protected.

We saw evidence that people received the care, support and treatment they required to meet their needs. People's needs were generally well reflected in their care plan and staff presented as having a good understanding of people's needs.

People told us they made choices and that staff respected these. Senior staff had some understanding about their responsibility to support people who may lack capacity to make decisions. However, this didn't extend to a full understanding of the requirements to safeguard people who lacked capacity.

Medication was being managed safely on the whole but we found some areas of practice which could be improved in order to demonstrate that all medication is being administered appropriately.

People told us they were happy with the home environment and the quality of furnishings provided in their own rooms and in communal areas. We found that systems and checks were in place to make sure the environment was safe. However, we noted a number of areas which required attention to protect people's safety.

We found there were enough staff on duty to meet people's needs in a timely manner and the atmosphere of the home was relaxed.

People who used the service and their relatives told us they would be happy to approach the manager if they had any concerns or complaints about the service and they felt confident that the manager would address any concerns. We found complaints had been investigated and responded to appropriately.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

People who used the service told us they felt well supported with their personal care and their health care. They also told us staff were respectful towards them and protected their privacy and dignity and their independence.

People told us they had no worries about the way they were treated and that they felt safe at the home. One person said 'I would tell someone if I was worried about anything and another person said 'I know what abuse is and if anyone upset me I'd tell the boss'.

An activities co-ordinator had been employed since our last visit and people were benefiting from being involved in a range of activities appropriate to their needs, hobbies and interests.

We found some concerns with how medication was being managed and with the effectiveness of how medication practices were being checked.

We found there were enough staff on duty to meet people's needs in a timely manner and staff told us they felt well supported in their role. New staff were only recruited when all the required pre employment checks had been carried out.

People who used the service and their relatives were asked their views about the service and some quality checks were in place. However, these were not fully effective to identify where the service needed to improve.

We found that there had been incidents at the home which had not been notified to us and this failed to protect people from the risk of abuse.

The home environment had not been appropriately maintained and was dirty in a number of areas.

The staffing levels were not sufficient to ensure the needs of the people using the service were being met appropriately. There were insufficient numbers of domestic staff as one cleaner was responsible for maintain the cleanliness of the whole building and we saw that the home was dirty in areas.

Staff recruitment procedures were not robust as a number of required pre- employment checks had not been carried out.

The provider had no system in place to assess and monitor the quality of the service and did not seek the views of people living at the home.