Midhurst Road Residential Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Risks posed to people were assessed and robust risk assessments were in place. However, staff did not always follow people's care plans. This was brought to attention of the registered manager and appropriate measures put in place to ensure people were safe. Accidents and incidents were monitored and appropriate action taken to mitigate risks. The service was in need of refurbishment in areas. People were safeguarded from the risk of abuse, staff understood their roles in relation to keeping people safe and told us they felt comfortable to raise concerns. The service worked in line with the principles of the Mental Capacity Act and consent was sought from people. People were supported by enough staff. Most people, relatives and partners told us there were enough staff. Staff were trained in a range of subjects to ensure they were suitably qualified to provide support to people.

This service scored 69 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

During the site visit we saw kind and caring interactions between people and staff.

We received mixed feedback from people and relatives. One person said, "There’s a lot wrong and it doesn’t seem that they care to put it right. " Most people told us they felt safe at the home and with the people who cared for them. One person said, “Staff are great, if I had a problem, I would tell the carers." Another person said, “There’s nothing to worry about here.” . A relative said, “I have no worries about [relative’s] safety, staff are great, everything is done and [relative] always looks clean and tidy.” Visiting professionals told us people were safe, one said, “People are looked after, it is a nice home.”

Staff were trained and understood their roles about how to keep people safe. Staff told us they felt comfortable to raise concerns and were confident incidents would be appropriately investigated and actioned. One staff said, "I can go to the manager and they would do what was needed, 100% people here are safe."

The provider had policies and systems in place to ensure people were safeguarded from the risk of abuse. Any safeguarding concerns were recorded, reviewed and appropriate action taken. Where required, relevant professionals were notified, such as CQC and the Local Authority.

Staff told us communication was good and they received enough training to enable them to safely support people. One staff member said, "We have daily huddles and handovers and we discuss any concerns, we have enough training, the training helps a lot. People are 100% safe here."

People’s care plans and risk assessments were regularly reviewed and in response to any change in needs. However, improvements were required to ensure staff followed guidance in care records in relation to people's dietary needs. Accidents and incidents were monitored and action taken to mitigate risks posed to people. Safety information was shared with staff through meetings and newsletters, such as how to reduce the risk of falls.

Staff did not always follow guidance in relation to people's dietary needs. We observed staff providing one person with food and fluid which was not in line with their assessed needs, to reduce the risk of choking. This was brought to the managers attention during our inspection and appropriate action was taken to reduce risks to this person, ongoing senior leadership oversight was implemented to ensure risks were managed going forward. We observed staff moving and handling people safely, whilst treating people with dignity and respect.

We received mixed feedback from people and relatives. However, most people and relatives told us they felt safe living at the service. Risks were assessed in line with people's choices, for example, person did not wish to have bed rails in place and an ultra low profiling bed was put in place to reduce their risk of falls. Most people felt staff would respond to their needs and provide them with safe care and support.

People told us the environment and equipment was safe. One person said, "I am safe, it is well organised, I have my own wheelchair and frame." People had their own personalised items in their rooms. A visiting healthcare professional said, "The service is secure, we always have to sign in, the rooms are always clean and tidy."

A refurbishment plan was in place, however this lacked detail about timescales and did not include all concerns found during our inspection. All appropriate checks were in place to ensure the environment and equipment was safe for use. This included fire safety management, lifting equipment, gas, electricity and risks related to legionnaires disease. Where people required hoisting care plans were detailed and people had their own slings in place.

The registered manager and staff told us the equipment and environment was safe for use. The registered manager had recognised some areas of the service were in need of refurbishment and told us plans were in place to carry this out.

The service was visibly clean,. However, we observed some areas of the service required refurbishment, various areas required painting, some bathroom floors in need of replacement, some rooms without a fitted wardrobe's and some chairs to be heavily stained.

Staff were recruited safely and all pre employment checks were in place. Staff were supported in their roles and received regular supervisions and appraisals. Staff received a thorough induction and training in a range of subjects, to ensure they were suitably qualified and competent to carry out their roles. Systems were in place to ensure safe staffing levels were maintained.

There was a calm and relaxed atmosphere at the service. Enough staff were suitably deployed to meet the needs of people using the service. We saw kind interactions between people and staff.

Staff told us they were well supported in their role, morale was good within the team and there were safe staffing levels at the service. Comments included, "I love working here, all the staff are lovely and people are well cared for" and, "The staff all get on, the manager is very supportive, it is like family."

Most people told us they were supported by enough staff and staff treated them with kindness and compassion. A person said, "The staff are very loving and do anything for you. They are lovely with me. The night staff are good.” A relative said, "There's always enough staff."

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.