CQC report explained · a residential care home, run by Pearl Jackson
Morton Close
Morton Lane, East Morton, Keighley, BD20 6RP
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, September 2023
Rated Requires Improvement; medicines remained unsafe and leadership was unsettled, although caring improved and special measures ended.
This was an unannounced focused inspection. Inspectors visited on 18 July 2023 and reviewed care records, medicines records, staffing, training and management records. They spoke with people, relatives and staff, and observed care.
The home had made significant improvements since its previous Inadequate rating. People were treated with kindness and respect, staffing was generally enough, infection control had improved, and risks were assessed more clearly.
Important problems remained. Some medicines were given incorrectly or at the wrong time, and waste medicines were not stored safely. There was no registered manager, and systems for identifying problems, reporting incidents and driving improvement were not always strong.
The overall rating rose from Inadequate to Requires Improvement. The home remained in breach of Regulation 12, but it was no longer rated Inadequate or in special measures.
Kind and respectful care
Staff treated people with compassion and respect. They responded warmly when people were confused or upset.
“We observed caring interactions between staff and people. Staff treated people with compassion and respect and engaged them in fun and meaningful conversations.” from the report
Improved risk records
Care records were clearer and risk assessments were updated when people's needs changed. Weight monitoring had also improved.
“However, the care records we reviewed were organised, clear and had some personalised information.” from the report
Improved infection control
Inspectors were assured that the home had suitable measures for preventing and managing infections, including the safe use of protective equipment.
“We were assured that the provider was using PPE effectively and safely.” from the report
Staff training and recruitment
Staff had training in key safety areas, and inspectors saw moving and handling equipment being used appropriately. Recruitment checks were robust.
“Robust recruitment processes were in place. The provider completed pre-employment checks to ensure staff's suitability for the role and safety in working with vulnerable people.” from the report
Medicines were not always safe
seriousSome people received medicines or creams incorrectly, including one person who did not receive the correct dose. Some time-sensitive medicines were not given as directed, and waste medicines were not stored securely.
“Some people did not have their medicines and creams administered safely because staff failed to follow the prescribers' or the manufacturers' directions properly.” from the report
Safeguarding and learning needed improvement
needs fixingStaff did not always recognise when safeguarding referrals were needed, and professionals said the home was not always proactive in learning from problems.
“We recommend the provider operates consistently robust safeguarding processes and a proactive approach to learning lessons.” from the report
Staffing cover was not always reliable
needs fixingThe home's assessed safe staffing level was not always met when staff were sick because usual bank staff could not be found.
“There were some occasions where the provider's assessed safe staffing levels had not been achieved.” from the report
Feedback was not consistently acted on
minorResidents' meetings had not been held since January 2023. People said food and some activities still needed improvement, and earlier feedback had not all been addressed.
“Some areas of feedback from the last meeting had not been fully addressed.” from the report
- 01Who is currently responsible for the home while there is no registered manager, and how often are they present?
- 02What has changed to make sure every medicine is given at the correct dose and time?
- 03How are waste medicines now stored and checked?
- 04What contingency arrangements are in place when staff are off sick?
- 05How will residents' feedback about food and activities be recorded, acted on and reviewed?
This was a focused inspection of Safe, Caring and Well-led, with infection control also checked; Effective and Responsive were not inspected and their previous ratings carried over into the overall rating. This explanation was written from the published report of 2 September 2023 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.
Every inspection of Morton Close
5 rated inspections over 7 years: the service has held its Requires improvement rating throughout.
- September 2023Requires improvementcurrent ratingup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2023Inadequatedown from Requires improvementSafe: InadequateCaring: InadequateWell-led: Inadequate
- April 2019Requires improvementdown from GoodSafe: Requires improvementCaring: GoodWell-led: Requires improvement
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 13 April 2011.
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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