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Murdoch House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2019

About the service: Murdoch House is a care home without nursing that provides a service to up to 27 older people. The accommodation is arranged over three floors, with lift access to each floor and is close to Wokingham town centre. At the time of our inspection there were 19 people living at the service.

People’s experience of using this service:

The management of medicine was not always safe. The staff did not always follow the provider’s policy in keeping records when specialised drugs were administered. However, people received their prescribed medicine on time. Storage of medicine was managed appropriately.

We have made a recommendation about ensuring the registered person maintained clear and consistent records when people had injuries as per regulation and their Duty of Candour responsibility was applied. This means providers must act in an open and transparent way with people who use services and other ‘relevant persons’ (people acting lawfully on their behalf) in relation to care and treatment.

We have made a recommendation about staff training regarding the writing of care plans and determining prevention measures and appropriate goals/outcomes. We have also recommended that future ongoing staff training be updated in line with the latest best practice guidelines for social care staff. The management and staff team had reviewed, assessed and monitored the quality of care. However, further improvement was needed to ensure records kept were accurate, up to date and complete.

The registered manager encouraged feedback from people and families. They used the feedback to make improvements to the service and protect against the risks of receiving unsafe and inappropriate care and treatment.

The staff carried out risk assessments and had drawn up care plans to ensure people's safety and wellbeing. We noted to the registered manager to ensure the records were clear and consistent. Staff recognised and responded to changes in risks to people who use the service and ensured a timely response and appropriate action was taken.

People felt safe living at the service. Relatives felt their family members were kept safe. Staff understood their responsibilities to raise concerns and report incidents or allegations of abuse. They felt confident issues would be addressed appropriately. Recruitment processes were in place to make sure, as far as possible, that people were protected from staff being employed who were not suitable.

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

We observed kind and friendly interactions between staff and people. People and relatives made positive comments about the staff and the care they provided.

People and their families were involved in the planning of their care. People confirmed staff respected their privacy and dignity. The registered manager was working with the staff team to ensure caring and kind support was consistent. People told us staff were available when they needed them, and staff knew how they liked things done. The registered manager reviewed and improved staffing numbers to ensure enough qualified and knowledgeable staff were available to meet people's needs at all times.

People had sufficient to eat and drink to meet their nutrition and hydration needs. Hot and cold drinks and snacks were available between meals. People had their healthcare needs identified and were able to access healthcare professionals such as their GP. The service worked well with other health and social care professionals to provide effective care for people.

There was an activities programme and some people were involved in activities. The activities coordinator worked hard to provide opportunities for people to engage in meaningful activities according to their interests, which protected them from social isolation. The registered manager had plan

Inspection areas

Safe

Requires improvement

Updated 23 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 23 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 23 July 2019

The service was not always well-led

Details are in our Well-Led findings below.