Morley Manor Residential Home

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. We checked to see if staff worked well together and if consent to care was sought in line with guidance. We found that consent was sought however this was not recorded in peoples care plans. During this inspection, this domains was rated requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

Staff worked well together to meet the needs of people. Feedback received was positive in relation to staff working well together and contacting external support when required.

A visiting professional told us staff sought their advice in a timely way and followed it. Staff indicated they worked well together to meet the needs of people. Manager had several systems in place to ensure staff worked well together and felt supported in their work.

During this inspection, we found there were good working relationships between external professionals and staff/manager, no delay in completing referrals to external professionals or implementing their advice. The provider was also seeking feedback from healthcare professionals working with the service.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us staff asked their consent. One person commented, "They ask for consent to care, they tell you what they are going to do."

Staff told us they asked consent before providing care and tried to involve people who required additional support with making decisions. The manager was able to explain us how they would follow the requirements of the mental capacity act, however we found concerns in how this was applied.

We found staff asked for people's consent before delivering care. However, care for people who lacked capacity in making decisions about their care was not always recorded in line with the requirements of the mental capacity act. The provider was not always following their own policies and best practice guidance in relation to the MCA. However, we did not find evidence that people who lacked capacity to make decisions about their care were receiving care that was not in their best interests. This was a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 because the provider was not always ensuring that consent to care was always being assessed or recorded for people who lacked capacity to make decisions about their care. This placed people at risk of harm.