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Murrayfield Care Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 25 March 2020

About the service

Murrayfield Care Home is a nursing home providing personal and nursing care and accommodation for older people, some of whom may be living with dementia. The home can support up to 74 people. At the time of the inspection there were 69 people living at the home.

Murrayfield care home is a large purpose built care home set in a residential area of Enfield, North London. Bedrooms are located across three floors with an accessible rear garden. The home provides a combination of nursing and residential care.

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

People told us they felt safe living at Murrayfield Care Home. Relatives also confirmed that they believed their relative was safe and appropriately cared for. Staff knew how to recognise abuse and report their concerns to safeguard people from potential abuse.

Throughout the inspection we observed and identified continued issues in relation to people’s experiences of dementia care, poor staff engagement with people and people not always being stimulated or involved in activities that promoted their well-being. This was especially apparent on the second floor of the home where most people were living with dementia.

Management oversight processes in place monitored the quality of care people received and where issues were identified these were addressed with details of actions taken so that further improvements and learning could be implemented. However, although the registered manager and senior managers were aware of some issues around people’s dining experience specifically on the second floor, additional issues that we found in relation to poor staff engagement and activity provisions had not been identified.

We have made a recommendation about the provision of dementia friendly environments.

Risk assessments were in place for people which assessed risks associated with their health and care needs with clear management strategies in place for staff to follow to keep people safe.

Policies and systems in place supported the safe management and administration of medicines.

Staff received the appropriate training and support to meet people’s needs effectively.

People’s health and care needs were comprehensively addressed and where required access to health and care specialists was promptly arranged to meet people’s changing needs.

People were supported to maintain a healthy and balanced diet. People told us that they were offered a choice of what they wanted to eat. Where people had specialist dietary requirements these were catered for.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We observed that people did receive good care across other areas of the home, with care staff demonstrating kind and caring qualities when supporting people.

People were involved in making day to day decisions about how they were supported. Relatives also confirmed that they were always involved in every aspect of care provision relating to their family member.

People and relatives knew who to speak with if they had issues or concerns to raised and were confident these would be addressed appropriately.

Care plans were comprehensive and person-centred detailing people’s health and care support needs and how they wished to be supported.

For more details, please see the full report which is on the CQC website at

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 18 February 2018). We had identified breaches of regulations around person-centred care and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. However, at this inspection improvements had not been made or sustained and the provider was still in continued breach of reg

Inspection areas



Updated 25 March 2020

The service was safe.

Details are in our safe findings below.



Updated 25 March 2020

The service was effective.

Details are in our effective findings below.



Updated 25 March 2020

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 25 March 2020

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 25 March 2020

The service was not always well-led.

Details are in our well-Led findings below.