About the service Myford House is a care home providing personal and nursing care to 30 people aged 65 and over at the time of the inspection. The service can support up to 57 people.
Myford House delivers care across two floors, with bedrooms and communal spaces on each floor. People have access to en-suite toilets and adapted bathrooms. There is a hairdressing salon and access to outside space.
People’s experience of using this service and what we found
Risks to people’s safety were not always considered. We observed a few incidents which had the potential to cause harm. The provider took immediate action to ensure people were safe.
Staff were not always deployed in the most effective way. On the first day of inspection there was a lack of co-ordination around staff’s knowledge of the people they were allocated to support. Staff did not always have enough time to spend with people and there were a high number of people being cared for in bed.
The provider was not able to demonstrate effective governance of the service. Some audits had not been completed and the provider was not aware of external reports written about the service.
The provider had not completed a recent infection control audit and we found areas of the building needed a deep clean.
People received their medicine on time. However, we did find missing signatures on some of the documentation. People had personal evacuation plans in case of an emergency.
Lessons learnt exercises were completed however the new management team were not aware of all previously reported concerns. We ensured they received this information in order to complete the required investigations.
The provider was open and honest about the issues in the service and the new management team had plans to address each issue. Staff told us they were feeling confident about the changes being made.
The provider applied their duty of candour following an incident although one relative told us they would have liked additional information.
The management team were increasing their level of engagement with people, their families and the staff team. Daily meetings ensured there was improved communication across the service.
The service worked in partnership with others and was actively engaging external agencies.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 March 2019).
Why we inspected
We received concerns in relation to the management of people’s safety. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvement. Please see the Safe and Well-led sections of this full report.
The provider was aware of the improvements needed and acted to mitigate the risk of harm.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Myford House on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to the safe care and treatment of people, the staffing and the overall governance of the service at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.