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The CQC report states that the registered manager had been on maternity leave. Act 1984; to provide for the payment of a grant to women in connection with pregnancy; to amend the functions of the Health Protection Agency; and for connected purposes. (Health and Social Care Act 2008) There was a temporary manger covering, however who was then replaced with another 9 days before the inspection in November 2016. Being put in position with no knowledge of what is going on and no preparation did not help gain a grasp of the place. However the recent manager wanted to become the registered manager of Clinton House and take responsibility. The CQC report 2016 states that a registered person then has the legal responsibility for meeting requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run. This is vital so that can do what is expected of them and run a healthy service providing that care and support they intended to offer. The manager should be aware of their staff and take control of what is taking place in order to run the service effectively. As there was some staff who were not clear on who was authorised to consent on behalf of people and the service didn't understand the DoLS legislation properly and how it should be applied.

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Effective communication is vital to gain a good understanding of one another. At Clinton House a situation took place where a BBC undercover reporter went in as care assistant, she raised a question as to how one of the service user had a bruise, however the staff were not aware. This shows it was not recorded and neither did staff pick up on it or speak to each other of it, because they do not communicate with well with one another. As for the service user who had severe form of dementia was not able to recall the experience or express herself well. Being a dementia patient, may not always allow them to communicate effectively. Staff should stay five or ten minutes after their shift to talk to the next and give a brief overview of how the service users have been and raise any important information. This would then give them the heads up and gain a good idea of what has been going on and how they can meet needs of their service users as well as working in a team to this.

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There has been forms of abuse and neglect that service users have experienced at Clinton House. Residents were left with bed pans on too long or in their room and won't disposed away. Dr Peter Holden, a GP, whose elderly care has been rated Outstanding, said: “The problem with being left in an incontinence pad is the urine and the faeces are chemicals, they are not designed to being left in contact with the skin. The skin will be damaged. (Carehome.co.uk,2016)
At times privacy and dignity was not given. "The first thing I noticed at Clinton House was the smell - an overpowering odour of urine." said an undercover BBC reporter. One of the service user asked to go use the toilet, staff did not respond till late and she wet herself. They were being ignored and left alone from time to time. Severe dementia patient asked to hold hand of staff and she refused to give comfort and care, leaving the undercover care assistant to witness and take over.

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The way staff dealt with medication was not strong and was harmful in many ways. "ill give her some Morphine, that'll shut her up" said the nurse. Although she had the prescription to use Morphine as required but used it in the wrong way. The CQC report also mentions that service users were give medication that was not prescribed to them, some missed doses and there were tablet intakes unaccounted for. There was creams being shared and no date of when the cream was used upon. There was inaccurate records of when medication was taken, creams were applied and incidents in general.

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By Daniel Gordon
BBC Panorama

A series of shocking incidents in privately run residential nursing homes in Cornwall have been secretly filmed by the BBC.

The Panorama undercover filming shows one nurse saying she will give morphine to a resident "to shut her up" - an event described by an independent expert as "horrifying".

One of the homes, Clinton House in St Austell, is being closed.

The Panorama team raised safeguarding concerns with the local authority.

The Morleigh Group, which runs the homes, said it had already identified problems, and that it had always acted quickly to improve care when asked to do so.

The footage was recorded by three reporters - one posed as a resident, the other two got jobs there.

Some of the most serious incidents occurred at Clinton House, which has 32 residents. It was given a "requires improvement rating" by the Care Quality Commission in May 2016.

One of the Panorama team checked in as a resident in need of respite care.

What Panorama's undercover 'resident' saw

Janice Finch posed as a resident at Clinton House and St Theresa's - both run by the Morleigh Group, which is owned by Steven and Patricia Juleff.

"The first thing I noticed at Clinton House was the smell - an overpowering odour of urine.

"I'm not sure if it was the pressure cushion or the damp chair I was sitting on.

"Welcome to life in a British nursing home.

"What I witnessed in both homes was staff run off their feet, trying to cope with the demands of many immobile residents.

"A visit to the toilet requires two care assistants to work the hoists that lift a person out of their chair and into a wheelchair.

"But try and find two free care assistants, especially at meal times.

"I watched one lady wait so long to be taken to the toilet that she later confided in me that she had wet herself in the meantime.

"I spent two weeks in Cornwall, one of the prettiest parts of England. But this was no holiday camp.

"My whole experience raises serious questions."

Out-of-date prescription

Another Panorama team member, called Lucy, was hired as a care assistant at Clinton House.

The home claims its staff are qualified to look after people with mild dementia.

But during her time there, Lucy was asked to look after a resident with severe dementia - despite having had no specialist training.

Using a hidden camera, she filmed the resident lying in a bed with a loose guard rail.

When she raised her concern that the lady might fall out or trap a limb, another member of staff advised her that his solution was to hold his foot against the bed frame.

The Morleigh Group is understood to have been paid about £3,000 per week to care for the resident.

Lucy also witnessed an out-of-date prescription supplement being re-labelled and issued to a patient for whom it had not been originally prescribed.

On another occasion, she was asked to help care for a resident who was suffering from a degenerative disease.

She was prescribed morphine "as required". The resident said she was feeling unwell, and was worried she would need to go to hospital.

Lucy went to the nursing station to report what she had been told to a colleague.

The nurse she consulted appeared to become angry, and proposed giving the resident a dose of morphine, which, she said, "will shut her up".

Panorama showed its footage of the incident to Dr Peter Holden, a GP and member of the British Medical Association.

"I'm horrified," he said. "Morphine is not there to be a cosh on patients. That won't have been prescribed for that and would never be so."

Council apology

As well as announcing the closure of Clinton House, the Morleigh Group has suspended the nurse pending an investigation.

The group denies that it failed to give proper attention to the quality and safety of residents' care.

It says it it had already dismissed the home's manager before it became aware of Panorama's investigation.

In a statement, Cornwall Council - which placed residents at Clinton House - said it was "sorry that the standard of care provided by Morleigh Group has fallen far short of what residents, their relatives and the general public have a right to expect".

It added that it was now investigating two more Morleigh Group homes.

The regulator, the Care Quality Commission, said it has had serious concerns with the Morleigh Group for some time, and had issued warning notices.

Andrea Sutcliffe, the CQC's chief inspector of adult social care, said: "We were appalled to have found that the Morleigh Group has allowed the quality of care to decline."

Panorama: Nursing Homes Under Cover will be broadcast at 20.30 GMT on BBC One on Monday 21 November. If you miss it you can catch up online.

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By Daniel Gordon BBC Panorama A series of shocking incidents in privately run residential nursing homes in Cornwall have been secretly filmed by the BBC. The Panorama undercover filming shows one nurse saying she will give morphine to a resident "to shut her up" - an event described by an independent expert as "horrifying".

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Recruitment at Clinton House was not safe as they did not take relevant employment checks and DBS was not completed before new staff were taken on. This was a risk as they were not aware of the persons background, therefore not protecting their service users from risks of being harmed by staff who were not suitable for the role.

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The Morleigh Group were accountable as Cornwall Council  paid them 3million pound, which they did not use well. They could have provided staff training and resources to prevent some of the issues that took place. Yet the Morleigh Group earned £1.5m profit after tax in 2015 which shows they did not have any financial issues. However they did apologise, making a statement saying: “The Morleigh Group utterly condemns the actions of inhumane, uncaring and unprofessional individuals in the programme. We apologise unreservedly to all of our residents and their families for the pain and distress suffered following the Panorama programme’s revelations."
Management and staff are also accountable for what took place at Clinton House, they had a duty of care and were not bale to carry out their roles and what was expected of them.

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Care provider the Morleigh Group, which became the focus of a BBC Panorama documentary revealing 'inhumane' care in two of its nursing homes in Cornwall, has apologised 'unreservedly'.

Broadcast on BBC One on 21 November, 'Panorama: Nursing Homes Under Cover', shows secret film footage recorded in Clinton House nursing home in St Austell and St Theresa's nursing home in Callington by a reporter posing as a resident and two others working as staff.

Dementia Care

The damning footage shows an undercover care assistant 'Lucy' left to look after a resident with severe dementia - despite having no specialist training. The resident with dementia (as shown in the video above) is seen lying in a broken bed while another care worker refuses to hold her hand.

Toilet needs

Another undercover reporter, posing as a resident with memory problems on respite, stayed at St Theresa's home at a cost of £750 per week. At St Theresa's, the reporter hears "Somebody help please" from a resident calling out for the toilet repeatedly at 10.30am. It is 10.45am when staff respond and take him to the toilet.

The documentary showed residents were often left in incontinence pads, even if they could walk to the toilet with help, instead of being taken to the bathroom.

Dr Peter Holden, a GP, whose elderly care has been rated Outstanding, said: "The problem with being left in an incontinence pad is the urine and the faeces are chemicals, they are not designed to being left in contact with the skin. The skin will be damaged.

"You wouldn't do it to your baby, why are we doing it to the elderly?"

The Morleigh Group said refusing to take a resident to the toilet or using incontinence pads instead would result in disciplinery action.

Another resident in her nineties was left on her bedpan for 40 minutes and ended up getting stuck on it, which required two workers to free her.

Medicine management

The broadcast also shows medication left lying around in a resident's room while another resident is given a prescription supplement that is two years out of date and prescribed for someone else. The original prescription label had been peeled off and the out-of-date supplement re-labelled for use by a current resident.

When one resident said she was feeling unwell and thought she would need to go to hospital, the undercover care assistant told a nurse. The nurse suggested giving the resident a dose of morphine, because it "will shut her up".

When footage of this incident was shown to Dr Holden, he said: "Morphine is not there to be a cosh on patients. That won't have been prescribed for that and would never be so."

CRB checks

Undercover worker 'Alice' should not have been left alone with residents because St Theresa's is yet to receive the results of her criminal records check. Despite this, a nurse on duty asks Alice to feed a resident on her own.

The care regulator Care Quality Commission (CQC) told St Theresa's care home more than a year ago to improve the screening of new staff.

Care home heating

Despite it being late September, the care home is cold because the radiators are not on, resulting in residents repeatedly complaining about being cold. The Morleigh Group said Clinton House is heated all year round and a temporary problem with the heating system was fixed.

The film footage revealed many residents did not have hot water in their rooms - at least nine rooms in total. Alice, the undercover care worker often had to take a bowl and search for hot water elsewhere in order to wash residents.

The Morleigh group said there were some problems when a new boiler was installed and residents were provided with hot water throughout.

Morleigh Group apology for 'inhumane' actions of staff

The company, runs six care homes in Cornwall and is owned by Steven and Patricia Juleff. Following the findings of the investigation, the Morleigh Group closed Clinton House.

In a statement the Morleigh Group stated: "The Morleigh Group utterly condemns the actions of inhumane, uncaring and unprofessional individuals in the programme. We apologise unreservedly to all of our residents and their families for the pain and distress suffered following the Panorama programme's revelations.

"We can confirm that dismissals have been made both since and prior to being notified by the producers of the Panorama programme. Furthermore, we are now undertaking careful examination of the footage as part of further disciplinary proceedings.

"The revelations have also caused considerable anger and anguish amongst our 200+ staff - the overwhelming majority of whom are trustworthy and dedicated care professionals. They are currently working around the clock to bring comfort and reassurance to all of our residents at this extremely sensitive time."

The Morleigh Group's six care homes are: Elmsleigh Nursing Home in Par, St. Theresa's Nursing Home in Callington, Brake Manor in St Austell, Clinton House in St Austell, Tregertha Court in Looe and Collamere in Lostwithiel.

Cornwall Council paid the group £3m in 2015

The Morleigh Group earned £1.5m profit after tax in 2015. In 2015, Cornwall Group paid more than £3m to the group to care for elderly. In a statement, Cornwall Council, which placed residents at Clinton House is now investigating two more Morleigh Group homes.

Trevor Doughty, Cornwall Council's strategic director for children, families and adults, said: "I am sorry that the standard of care provided by Morleigh Group has fallen far short of what residents, their relatives and the general public have a right to expect.

"What has been uncovered in these two homes is exceptional, is shocking, and is utterly unacceptable."

The council and NHS Kernow is in the process of moving its residents out of Clinton House. Mr Doughty said: "We are confident that all residents will have been moved to their new homes by 25 November.

He added: "We will sometimes have to use care homes with a 'Requires improvement' CQC rating as is common across the country.

CQC "appalled"

The CQC has inspected the Morleigh group's services 22 times in the last two years following complaints. It stated it had taken enforcement action by issuing warning notices to the group.

Andrea Sutcliffe, the CQC's chief inspector of adult social care, said: "We are taking tough action against the Morleigh Group to protect the people living in four of its nursing homes in Cornwall.

"We have had serious concerns with the Morleigh Group for some time. We have kept this provider under close scrutiny, responded to issues raised directly with us.

Referring to Collamere, Elmsleigh, Clinton House and St Theresa's which had Requires Improvement ratings, Ms Sutcliffe said: "In all four nursing homes, we were appalled to have found that the Morleigh Group had allowed the quality of care to decline.

"A rating of 'Requires Improvement' was a clear signal that the provider needed to act. The owner, Mrs Juleff, had every opportunity to get this right but she failed. She has squandered the support from both Cornwall Council and the local clinical commissioning group. She has utterly neglected her duty of care to the residents of these homes."

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'sorry' says care home owner after secret panorama film reveals 'inhumane' care

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'Sorry' says care home owner after secret Panorama film reveals 'inhumane' care

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Care provider the Morleigh Group, which became the focus of a BBC Panorama documentary revealing 'inhumane' care in two of its nursing homes in Cornwall, has apologised 'unreservedly'.

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Nurse: 'Morphine will shut her up' BBC News

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It was an unsafe environment for the service users. There was a dementia patient who was lying in a broken bed. (Albert, A 2016) This was known to staff yet nothing was done about it leaving her in a risk of potential harm. Also if the service user was bruised or hurt, this should have been recorded, otherwise could come under abuse. CQC report mentions that staff did not make detailed risk assessments and neither were they trained to identify risks. This would have helped minimise risks making it a safer environment for the service users. There were many cases of the equipment not being maintained properly. In a CQC inspection they found that the water from the bathroom taps was really hot, it was raised in February and again in November different taps but still the same issue. This being a risk of scalding the users and staff at the the service, as the temperature of water was at 50 degrees. (CQC report 2016)  They should have reported and not used it until it was sorted.

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A private care home has closed amid serious concerns for residents' safety.

Clinton House Nursing Home in St Austell, Cornwall, which is run by the Morleigh Group, cares for 30 "vulnerable" adults.

Extra qualified nursing staff were put in place "to safeguard the health, wellbeing and dignity" of residents when fears were raised in October.

Cornwall Council said the "unusual and serious" decision to move residents had been taken due to safeguarding issues.
More on the care home closure, and other news
Morleigh, which runs six homes in Cornwall, has confirmed three others are being investigated.

In a letter to relatives, owner Tricia Juleff said the home faced significant challenges and she had therefore decided "the best option" was to close it.

She added a new chief executive had been appointed to work with the authorities to support the transition of residents from Clinton House.

Christine Stewart, whose 85-year-old mother Sylvia lives at the home, said she knew it was under investigation but was shocked at how quickly the authorities had moved.

Ms Stewart, who first raised concerns about the home in 2013, said it was a "heartbreaking" situation and while she "supported and applauded" the authorities' action, she was "appalled" residents had been allowed to suffer.

"I am saddened, but not surprised, that the problems have been allowed to get serious enough to force the complete closure of the home.

"Now they have the added disruption of moving and I imagine it will be extremely difficult for most of them to cope."

An action group involving the council, NHS Kernow Clinical Commissioning Group, Devon and Cornwall Police, NHS England and the Care Quality Commission (CQC), was set up after concerns were raised by a relative on 26 October.

The police force said no arrests had been made, while the CQC said the findings of its recent inspections of four Morleigh premises would be reported "in due course".

Others being investigated include St Theresa's Nursing Home in Callington, Elmsleigh Nursing Home in Par and Collamere in Lostwithiel.

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A private care home has closed amid serious concerns for residents' safety. Clinton House Nursing Home in St Austell, Cornwall, which is run by the Morleigh Group, cares for 30 "vulnerable" adults. Extra qualified nursing staff were put in place "to safeguard the health, wellbeing and dignity" of residents when fears were raised in October.

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Clinton House had been lacking resources to help provide good care and support to the service users.
BBC news 2016 reported "The Morleigh Group is understood to have been paid about £3,000 per week to care for the resident." There was financial issues at Clinton House, as the provider of the home were not  using the money in the right way.
This had an affect on the service users as well as staff. There was a flood in the kitchen due to water leak which prevented staff from doing their job. There was no heating and was very cold in the building, staff were aware and gave out blankets. However living in a cold environment, could also lead to health issues. It was taking a while to get sorted when it should have been priority. There was a bell system in place which was faulty causing confusion especially for new staff. This meant service users were delayed in assistance and recieving help within a timely manner. This also links to not having enough staff on duty to meet the individuals needs. Therefore being rushed off their feet and not providing good quality of care leading to pressure and stress instead.

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It was clear that staff were not trained properly or supported enough in their role, as there were many gaps in staff training.  They had care plans that were not filled in properly. This did not give them the full guidance on how they should provide appropriate care to meet the service users needs.
They did not have knowledge as to when someone should be referred to appropriate health care professionals as it was not done in timely manner. This then  delayed relevant treatment the service user needed.
They had dementia patients living at the home and staff were not trained enough to deal with their needs. For example one of the severe dementia patient required one-to-one to one and they could not give it to her. They even left undercover reporter Lucy alone with a dementia patient who had no experience. This was because they had other things to do, yet leaving service user or staff at risk and unaware of what their role is and how to take care of the service user effectively.
Some staff were not trained in how medication should be given and being able to identify therisks.