Archived: Mossley Manor Care Home

Updated 30 June 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 27, 28 May and 01, 05 June 2015 and was unannounced.

This inspection was carried out by two Adult Social Care (ASC) inspectors on 27 and 28 May. An ASC inspection manager attended on 01 and 05 June. On the 27 May the inspection team also included an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

We carried out this inspection because concerns were raised by a member of the public regarding the care that people were receiving in the home and the poor cleanliness of the home. We had also noted concerns raised by members of the public on the NHS Choices website.

We viewed the records we held on the service and saw that the service had not been sending us notifications which are required by law.

We spoke with 14 people who used the service, with seven visiting relatives and a visiting Healthcare professional. We also spoke with one domestic and three kitchen staff, four care staff, the manager and the deputy manager for this service.

We looked at 12 care files which included the daily records, five staff recruitment files and other records relating to staff training and supervision. We also looked at other records and documentation in the home relating to the safety of the premises.

We observed people and staff throughout the inspection and saw how people were being cared for.

Updated 30 June 2015

We carried out an unannounced inspection of Mossley Manor Care Home on 27, 28 May and 01, 05 June 2015.

Mossley Manor Care Home is a privately owned care home which provides accommodation for older people. The service accommodates up to 47 adults. The service is located in the Mossley Hill area of Liverpool. Accommodation is provided over three floors. At the time of the inspection we believe that 43 people were living in the home. It was difficult to be sure because the records were very poor and the staff gave us conflicting information. Of these, eight people were being cared for in intermediate care beds, which were short term placements for people who had been discharged from hospital.

The home had a registered manager in post. 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 this inspection we found serious breaches of Regulations 9, 11, 12, 13, 14, 15, 16, 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also found breaches of  Regulations 16 and 18 of the Care Quality Commission (Registration) Regulations 2009. These breaches were assessed by CQC as extreme, as the seriousness of the concerns placed a significant risk on the lives, health and well-being of the people living in the home.

The premises were unsafe and poorly maintained. There was insufficient hot water and unsafe windows in many people’s bedrooms. The premises were also unclean and placed people at risk from infection. People were smoking in the building where the fire detection units were faulty and oxygen cylinders were also present which caused a considerable fire hazard.

Medicines were not safely managed which placed people’s health at risk and staffing levels were insufficient to meet people’s needs.

The Mental Capacity Act 2005 was not adhered to in the home. The staff did not have the knowledge and skills to support people or follow legal processes to make decisions in their best interests.

Care plans were poorly written and did not reflect people’s needs or wishes. People living in the home were not receiving care that met their individual needs. There were no activities to stimulate or encourage people to undertake meaningful activity.

There were no systems or processes in the home to ensure that the service provided was safe, effective, caring, responsive or well led. The manager and provider were unable to demonstrate the skills, knowledge or ability to make the urgent changes that were required to make the service safe during the nine day time period that the inspection took place.

CQC used its urgent powers to apply to the Magistrates Court on 05 June 2015 and received a court order to cancel the provider’s registration to carry out the regulated activity at Mossley Manor Care Home.

The provider has 28 days to appeal against this order to the First Tier Tribunal (Care Standards) under section 32 (1) (b) of the Health and Social Care Act 2008.