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CQC report explained · a nursing home, run by Devonshire Care

Morton Manor

Dog & Duck lane, Morton, Gainsborough, DN21 3BB

Requires improvementpublished 17 October 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Inspectors found infection control concerns, unsafe areas of the environment, incomplete risk assessments and medicines that were not always stored, administered or recorded safely.
Effective?
Good
People's assessed needs, nutrition, healthcare and choices were generally supported well. However, inspectors were not assured that all staff were competent in applying medicated creams or moving and handling.
Caring?
Good
Staff were observed to be kind, respectful and caring. People and relatives said they were happy with the support and that staff knew people's preferences.
Responsive?
Good
People's care was personalised, relatives were involved and activities had increased. People and relatives could raise concerns with the manager.
Well-led?
Requires improvement
Quality and safety monitoring did not reliably identify or fix problems. Care plans and incident records were incomplete, and relatives had not received questionnaires or attended meetings to share their views.
The latest report, explained

What inspectors found, October 2023

Rated Requires Improvement; inspectors found kind and responsive care, but ongoing risks with safety, medicines and management.

The inspection was unannounced and took place on 19 June 2023. Inspectors spoke with people, relatives and staff, and checked care records, medicines records, staff files and management records.

The home was not always safe. Inspectors found problems with infection control, the laundry area, environmental repairs, risk assessments and medicines. Care plans and records did not always give staff enough guidance or show that risks had been managed.

People were treated kindly and respectfully. The home supported people's choices, food and drink needs, healthcare, activities and communication. The ratings were Good for Effective, Caring and Responsive, but Requires Improvement for Safe and Well-led, giving an overall rating of Requires Improvement.

The home remained in breach of two regulations from the previous focused inspection. The provider took action to reduce risks after the inspection, and the CQC said it would monitor progress and meet the provider to discuss improvements.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw positive interactions. People and relatives said staff were kind, caring and respectful, and supported privacy and dignity.

    People were supported by staff who treated them with kindness and respect.from the report
  • Good daily support

    People's food, drink and healthcare needs were supported. Staff offered choices and worked with outside health professionals when needed.

    People's diet and nutritional needs were being met.from the report
  • Choice and involvement

    People were offered choices and involved in care decisions where possible. Mental capacity and best-interest processes were in place when required.

    Throughout the inspection we observed staff providing choices to people.from the report
  • Activities and relationships

    An activities coordinator had recently been employed. Inspectors saw people enjoying games and singing, and relatives described more activities in the home.

    We observed people taking part in activities available in the home and they were visibly enjoying playing games and singing.from the report
  • Recruitment checks

    The home carried out required recruitment checks before staff started work, including checks through the Disclosure and Barring Service.

    Thorough checks including Disclosure and Barring Service (DBS) checks were conducted before staff started working at the service.from the report
What inspectors were concerned about
  • Medicine safety

    serious

    Medicine stock checks, handwritten records, cream administration records and storage were not always safe or complete. The home also did not always act when medicine rooms were too hot.

    The provider had failed to ensure medicines were managed safely and that risks relating to the health, safety and welfare of people and the environment were robustly managed, monitored and assessed.from the report
  • Infection control

    serious

    Some areas were unclean, and the laundry room did not separate used and clean laundry properly. Inspectors found evidence that clean laundry could be contaminated.

    There was evidence of cross contamination as we observed some soiled laundry in the clean area.from the report
  • Environmental safety

    serious

    Some heavy furniture was not fixed to walls, radiator covers were missing during the inspection and the smoking area was not made safe. The radiator covers were reattached on the day.

    Some radiator covers had not been reattached after maintenance which meant the radiators could be accessed and people were at risk of burns and scalds.from the report
  • Incomplete risk assessments and care plans

    needs fixing

    Risk assessments for e-cigarettes and bed rails were missing when needed. Care plans did not always explain changing needs, repositioning or how staff should reduce risks.

    Care plans did not always contain enough information for staff to know how to support people in line with their current needs.from the report
  • Weak quality monitoring

    needs fixing

    Management checks did not consistently identify and correct problems. Records did not clearly show what action followed accidents, incidents or some safeguarding concerns.

    The systems and processes to assess, monitor and improve the quality and safety of the service were not always effective.from the report
  • Limited family feedback

    minor

    Relatives said they had not received questionnaires and meetings had not taken place for people and relatives to share their views.

    Relatives told us they had not received questionnaires to provide feedback and meetings had not taken place so people and relatives could share their views.from the report
Questions to ask them, based on this report
  1. 01What has been changed to make medicines safer, including cream records, medicine-room temperatures and stock checks?
  2. 02How have you separated used and clean laundry, and how do you now check that infection-control cleaning is completed?
  3. 03Which environmental repairs and safety changes have been completed, including furniture, radiator covers and the smoking area?
  4. 04How are care plans and risk assessments now kept up to date when people's needs change?
  5. 05What evidence can you show that the warning notices and the previous inspection findings have been fully addressed?

This was an unannounced inspection of the care home covering all five key questions, including infection prevention and control; Safe and Well-led remained Requires Improvement while Effective, Caring and Responsive were rated Good. This explanation was written from the published report of 17 October 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.

The story over the years

Every inspection of Morton Manor

3 rated inspections over 3 years: the service has held its Requires improvement rating throughout.

  1. October 2023Requires improvementcurrent ratingstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Morton Manor

  2. January 2022Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

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

  3. March 2021Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2019

    Registered with the Care Quality Commission on 5 June 2019.

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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