Muscliff Nursing Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question outstanding. At this assessment the rating has remained outstanding. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 96 (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 Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The service had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They act on the best information about risk, performance and outcomes, and share this securely with others when appropriate.

The registered manager demonstrated they had a clear understanding of their responsibilities and were familiar with guidance for providers on meeting the regulations. The registered manager told us, “The importance of good auditing to balance keeping complex residents safe but enabling them to have freedom and independence so Muscliff Nursing Home feels like their home and place of comfort.”

We saw the service had effective governance, management and accountability arrangements in place. We were assured that staff understood their roles and responsibilities and the management team could account for the actions, behaviours and performance of staff. A staff member stated, “We all have our roles, skills we have developed to become champions and it all fits together so residents get the very best care. The registered manager wouldn’t accept anything less and their presence, the way they nurture others makes everybody who walks through the door raise their standards.” Another staff member told us, “Staff want to help and go above and beyond. I help the managers with the audits, I can teach others to do audits now… we promote the involvement of staff for staff to do more and achieve more and this creates excitement.”

Leaders were open and honest with people living in the service and their relatives when things went wrong with their care and provided them with an apology. We saw the management reporting structure was transparent and a relative told us there is a relative champion who can be an extra voice to support people and families if needed.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.