Malsis Hall - Mental Health Care Home with Nursing

The following is CQC's published account of its assessment, published 15 April 2025. References to “we” mean CQC. It describes findings at that time.

We visited the service between 6 and 11 March 2025. This service is a care home with nursing providing care to younger adults, older adults and people with mental health conditions. The service can support up to 35 people. At the time of inspection, there were 26 people using the service. The service did not always make sure the management of medicines and treatments were safe. The records did not always support staff to safely administer medicines While improvements had been made, we found the quality of record keeping was not always consistent. For example, some people continued to not always have consent recorded and people who were unable to make their own decisions did not always have mental capacity assessments and best interest decisions in place. We found not everyone had up to date risk assessments in place. We found the living environment to be clean, tidy and hygienic and there were enough staff to provide safe care. We found staff had up to date training and they were safely recruited and inducted. Leaders had a shared vision with staff of improvement needed to make sure people living at the service received high quality care. Leaders were visible in the service, and they had a clear plan to drive improvement and consistency. The provider was previously in breach of the legal regulation in relation to good governance. Improvements were found at this assessment and the provider was no longer in breach of this regulation. The provider was previously in breach of the legal regulation in relation to seeking consent. Improvements were found at this assessment and the provider was no longer in breach of this regulation. The provider was previously in breach of the legal regulation in relation to safely managing medication. While some improvements were found, not enough improvement was found at this assessment and the provider continued to be in breach of this regulation.