CQC report explained · a residential care home
Morton Cottage Residential Home
Morton Cottage, 210-212 Wigton Road, Carlisle, CA2 6JZ
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
What inspectors found, February 2024
Rated Requires Improvement; inspectors found kind, unrushed care but gaps in safety checks, infection control and records.
This was an unannounced focused inspection on 18 and 20 December 2023. Inspectors looked at Safe, Effective and Well-led because of concerns about the building and infection control. They spoke with people, relatives, staff and visiting professionals, observed care and checked records.
The home had enough staff, and people described staff as friendly, patient and helpful. People received their medicines and support with food and drink. However, some fire safety and hot water checks had lapsed. Cleaning and infection control were not always good enough, and some medicine records had minor gaps.
Important records were missing or not up to date. These included recruitment checks, training records and quality audits. The provider had started actions after the inspection, but the improvements needed to become routine. The overall rating changed from Good in 2018 to Requires Improvement. There were breaches of Regulations 12 and 17.
Kind and patient staff
People and relatives spoke positively about the staff. Inspectors saw staff spending time with people and providing help in a patient, unhurried way.
“There were sufficient staff deployed to meet people's needs including their emotional and social needs.” from the report
Support with food and drink
People were offered a choice of dishes and dining times. Staff provided gentle and unrushed help when people needed assistance with meals.
“People were supported to eat and drink enough to maintain their health.” from the report
Respect for choices and rights
Staff sought consent and supported people to make decisions where they could. Appropriate applications had been made where people lacked capacity and needed safeguards.
“People were involved in decisions about their care where they had capacity to do so.” from the report
Missed safety checks
seriousSome routine checks of the building had lapsed, including fire alarm tests and hot water temperature checks. Risk assessments did not always identify the action needed when people's circumstances changed.
“Some routine safety checks to the premises had lapsed, including fire alarm tests and hot water temperature checks.” from the report
Infection control shortfalls
needs fixingThe local authority infection control officer found areas of the building and equipment that needed cleaning. The provider took urgent action and had a plan for the remaining work.
“These related to areas of the premises and equipment that required cleaning.” from the report
Incomplete staff records
needs fixingThe home could not show all recruitment checks for newer staff. Training records did not show when refresher training had been completed.
“The provider was unable to show records of the checks and clearances for the safe recruitment of newer staff.” from the report
Weak quality monitoring
seriousAudits and other records had fallen behind, making it harder to show that risks and service quality were being properly monitored. The provider had begun to reinstate the checks.
“The provider's quality assurance systems to manage risk and monitor quality had not been followed.” from the report
Minor medicines recording gaps
minorThere were gaps in records about storage temperatures and guidance for medicines given when needed. The report found no evidence that this affected people, and the provider addressed the points after the inspection.
“We found some minor recording gaps during this inspection, mainly relating to medicines storage temperatures and 'as and when' medicines guidance.” from the report
- 01Have all fire alarm tests and hot water temperature checks been reinstated, and how do you make sure they are not missed?
- 02What cleaning and infection control work has been completed since the local authority officer's visit?
- 03Can you show that recruitment checks and refresher training records for all staff are now complete and up to date?
- 04How often are quality audits and risk assessments now completed, and who checks that actions are followed through?
- 05What new system is being used to record medicines storage temperatures and guidance for medicines given when needed?
This was an unannounced focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected during this visit and the report says ratings for uninspected questions were carried over from the last inspection. This explanation was written from the published report of 17 February 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.
Every inspection of Morton Cottage Residential Home
5 rated inspections over 8 years: the service has improved, from Inadequate to Requires improvement.
- February 2024Requires improvementcurrent ratingSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Morton Cottage Residential Home →
- March 2021Inspected but not ratedSafe: Inspected but not rated
- July 2018Goodup from Requires improvementSafe: GoodEffective: Requires improvementWell-led: Good
- March 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2016Inadequatestayed InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- January 2016InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- December 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 2010.
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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