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Inspection carried out on 7 March 2018

During a routine inspection

Morden Grange is a residential care home for eight people with assessed mental health needs. At the time of the inspection the home had full occupancy. The home is a large converted two storey house with all single rooms, bedrooms and bathrooms were situated on both floors. There was a lounge, kitchen and dining room on the ground floor. The home is close to local amenities and to Bolton town centre.

The provider has three small care homes in Bolton and there is a registered manager that oversees all three homes. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection we rated the serviced good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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People remained safe the home. Staff had undertaken training in safeguarding vulnerable adults and a safeguarding policy and procedure was in place. Any accidents or incidents were managed appropriately. Medicines were safely managed. Robust recruitment checks were in place for all new staff.

People’s needs were met by good staffing levels. Staff had completed essential training to equip them to carry out their role effectively. Staff received regular supervision meetings with management.

The service was working within the legal requirements of The Mental Capacity Act 2005 (MCA).

People received kind and compassionate care. People’s privacy, dignity and independence was promoted. Staff knew what support people required and how this was offered.

Care records were person centred and contained detailed information. Care plans were reviewed and updated as necessary. Systems were in place to deal with any complaints or concerns.

The registered manager had systems in place to monitor and assess the quality of service and the care provided. The culture within the home was open and transparent. The registered manager worked in partnership with other agencies.

Inspection carried out on 14 March 2016

During a routine inspection

Morden Grange is a two storey property in The Haulgh area of Bolton. The home is close to local amenities and public transport. The home is registered to care for seven adults with mental health difficulties. At the time of the inspection there were five people living at the home.

This was an unannounced inspection that took place on 14 March 2016. We last inspected the home on 23 October 2013. At that inspection we found the service was meeting all the regulations that we reviewed.

The home has a registered manager in post. The registered manager is responsible for another two of the company’s homes in the Bolton area. The registered manager assisted with the inspection as did the senior member of staff on duty. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We saw that people who used the service had a detailed care plan to guide staff on the care and support required.

People who used the service told us they were well looked after and they felt safe.

Staff recruitment procedures were safe. We saw appropriate checks had been undertaken before staff commenced work at the service to ensure they were suitable to work with vulnerable adults.

We observed good interactions between staff and people who used the service.

We found that people were cared for and supported by sufficient numbers of suitably skilled staff trained staff.

Staff we spoke with had a good understanding of the needs of the people they were caring for.

Staff were able to demonstrate their understanding of the whistle blowing procedures and they knew what to do if an allegation of abuse was made to them. Staff were also able to demonstrate their understanding of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS); these provide legal safeguards for people who may be unable to make their own decisions.

We found the medication system was safe and that people received their medicines in a timely manner as prescribed.

We saw that staff work in cooperation with other healthcare professionals to ensure that people received appropriate care and treatment.

Food stocks were good and people were encouraged to enjoy a healthy and nutritious diet.

All areas of the home were clean and were maintained to a good standard.

There were opportunities for people who used the service to comment of the quality of care provided.

The complaints procedure was displayed and the registered manager had systems in place for receiving and responding to any complaints or concerns raised.

Inspection carried out on 23 October 2013

During a routine inspection

We visited Morden Grange on 23 October 2013. We found the home to be warm, clean and tidy. The home has occupancy for 7 people. On the day of our visit 5 people were living at the home.

Three people who used the service had lived at the home since it opened three years ago. We spoke with two people, one person told us, �It�s the best living here�.

We observed good relationships between staff and people who used the service. People came in the office chatting and were comfortable with the staff. One new member of staff spoken with told us, �This was a complete career change for me. I love it; I should have done this years ago�.

We saw that staff had access to relevant policies and procedures including safeguarding procedures and contact details.

We were shown feedback from a satisfaction questionnaire completed in July 2013. Results were positive with people indicating they felt well supported, the service was excellent and people were always treated with dignity and respect.

Inspection carried out on 4 December 2012

During a routine inspection

We spoke with some people who lived at the home. We were told, �I like living here�.

Another person told us about going out shopping with the staff and how she enjoyed it.

We were told, �The staff are good, I have no complaints�.

Inspection carried out on 7 October 2011

During a routine inspection

One person told us that, �I am happy living here, I am still settling in but I think I will be OK�.

We asked one person what she would do if she was unhappy or concerned about anything. This person replied, �I would tell the staff if I was unhappy�.