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CQC report explained · a residential care home, run by Hegarty Care

McMorrow House

198 Station Road, Beeston, Nottingham, NG9 2AY

Outstandingpublished 5 January 2024, 2 years ago

Rated Outstanding: inspectors found the service performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risk assessments, safeguarding arrangements, recruitment, medicines management and infection control were found to be effective.
Effective?
Good
People's needs and choices were assessed and reviewed, and staff had training for complex needs. People were supported with healthier lifestyles, healthcare, food, consent and independence.
Caring?
Outstanding
Staff treated people with compassion, dignity and respect. Inspectors found exceptionally strong support during crises and for people's identity, relationships, independence and personal choices.
Responsive?
Outstanding
Care was highly personalised and adapted to people's communication needs, goals and preferences. People were supported to build relationships, take part in activities and achieve ambitions in the community.
Well-led?
Good
The home had an open culture, effective audits and clear leadership. People and staff said the home had improved and was well managed.
The latest report, explained

What inspectors found, January 2024

Rated Outstanding; inspectors found exceptionally caring and responsive support, with safe, effective and well-led care rated Good.

This was a follow-up inspection on 23 October 2023. One inspector visited, spoke with three people, five staff and two professionals, and reviewed care records, recruitment files, audits, policies and training records.

The inspectors found that people were safe and received effective care. Medicines were managed safely, staff understood people's complex mental health needs, and people were supported to make choices and become more independent.

Caring and responsive support were rated Outstanding. The report describes strong relationships, personalised care and support that helped people reach goals such as education, employment, travel, healthier living and greater independence.

The overall rating changed from Requires Improvement to Outstanding. The home had been in breach of Regulations 12 and 17 at the previous inspection, but the inspectors found enough improvement and said the home was no longer in breach.

What inspectors praised

  • Support in a crisis

    Staff supported people at serious points of risk, including self-harm and emergency referrals. The report says this sometimes helped avoid hospital admission or detention.

    “The home has taken referrals that would have otherwise resulted in hospital admission or even detention of people under the Mental Health Act (MHA).” from the report

  • Personalised care

    Care plans were detailed and shaped around people's individual goals, communication styles and preferences. Staff helped people work towards education, travel, relationships and independent living.

    “Care plans reflected this, and we observed positive, meaningful person centred conversations between people and staff.” from the report

  • Kind and respectful staff

    Inspectors saw strong relationships between staff and people. Staff supported privacy, dignity, equality and independence, including during difficult periods.

    “We saw meaningful and positive practices when people did hit crisis points.” from the report

  • Learning and improvement

    The home used incidents, feedback and people's views to make changes. Inspectors found an open culture and examples of changes to paperwork, activities, menus and care planning.

    “The registered manager encouraged feedback and we saw numerous 'you said, we did' examples such as changes in paperwork, activities, menus, outings, and care planning.” from the report

  • Safe medicines support

    Medicines were stored, administered and recorded safely. People were supported to understand and manage their medicines more independently where possible.

    “Medicines were administered, recorded and stored safely.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative if they were at risk of self-harm or in a mental health crisis?
  2. 02How will my relative be involved in decisions about their medicines and any move towards self-administration?
  3. 03What individual goals would you help my relative work towards, such as education, employment, relationships or independent living?
  4. 04How would staff communicate with my relative if they find it difficult to ask directly for help?
  5. 05How will you involve my relative and our family in reviewing their care plan and raising concerns?

This was a follow-up inspection after earlier breaches, with infection prevention and control also checked under Safe; the report provides ratings for all five key questions. This explanation was written from the published report of 5 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of McMorrow House

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. January 2024Outstandingcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read what inspectors found at McMorrow House →

  2. August 2023Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. May 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2018

    Registered with the Care Quality Commission on 9 May 2018.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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