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Melbourne House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 November 2019

About the service

Melbourne House is a care home registered to provide personal care and accommodation for up to 33 older people aged 65 and over in one adapted building. At the time of our inspection there were 25 people living at the home.

People’s experience of using this service and what we found

People’s basic care needs were met, and staff knew about people’s preferences for care. People were at ease around staff demonstrating they felt safe being supported by them.

Risks associated with people’s care were known by staff, but records continued to require improvement to ensure there was a consistent and safe approach in meeting people’s needs. This included improvement to records related to nutrition and hydration to demonstrate people received sufficient to eat and drink.

Risks related to the environment were being identified but actions were ongoing in ensuring these were met consistently.

Staff were aware of their responsibilities regarding the reporting of potential abuse. Systems were in place for safeguarding concerns to be referred to the local safeguarding authorities for follow up as appropriate.

Electronic care planning systems continued to present problems with internet signals, but the provider was working with staff and the management team to address this. This included using written records where appropriate.

People received their medicines from staff trained in medicine management. There had been improvements made to medicine management since the last inspection. Arrangements were also in place for further improvements to be made so that these were managed safely consistently.

There were sufficient numbers of staff to support people’s needs; no new staff had been recruited since the last inspection.

New quality monitoring systems were in the process of being introduced to help improve the quality of care and services people experienced.

People were encouraged to share their experiences of living at the home at periodic meetings and within satisfaction surveys. People also felt at ease to discuss their needs with the management team.

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (published 3 September 2019) and there were multiple breaches of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of the regulations. However, the service remains rated requires improvement.

Why we inspected

During our last inspection we issued a Warning Notice as the provider had not taken sufficient action to address breaches in the regulations. We carried out this focused inspection to check that improvements to meet legal requirements planned by the provider after our comprehensive inspection on 12 and 16 July 2018 had been taken. The provider completed an action plan following the last inspection to show what they would do and by when to improve. This report only covers our findings in relation to the key questions of Safe and Well Led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Melbourne House on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Requires improvement

Updated 9 November 2019

The service was not always safe.

Effective

Requires improvement

Updated 11 September 2019

The service was not always effective.

Caring

Requires improvement

Updated 11 September 2019

The service was not always caring.

Responsive

Requires improvement

Updated 11 September 2019

The service was not always responsive.

Well-led

Requires improvement

Updated 9 November 2019

The service was not always well led.