We carried out a review of the data available to us about Moore Place on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Moore Place, you can give feedback on this service.
Moore Place is a residential care home providing personal care to up to 60 people. At the time of our inspection there were 56 people using the service. The home is a purpose built building spread over five floors with communal areas on each floor. One of the floors specialises in providing care to people living with dementia.
We found the following examples of good practice
There were enough staff to meet people’s needs. There were plans in place to ensure cover of any staff shortages due to following isolation guidance or testing positive for COVID-19. The provider had managed to avoid using agency which meant people were being supported by regular staff that they knew well.
People who lived at the home were supported to access testing for COVID-19 and to have their COVID-19 vaccinations. If people contracted COVID-19, they were supported to self-isolate in their bedrooms. The registered manager had implemented additional mental wellbeing programmes for people self-isolating in their rooms. This included additional snack trays and staff visits to complete 1-2-1 activities.
The provider had introduced measures to ensure visits were conducted in a safe way and in line with government guidance. Visitors were required to provide evidence of a negative lateral flow test and to complete a list of COVID-19 screening questions. The registered manager and staff had promoted the essential care giver scheme to enable people to see more of chosen relatives. Professionals visiting the home also had to demonstrate their COVID-19 vaccination status.
Staff took part in a COVID-19 testing programme that had been introduced at the home. Any staff who contracted COVID-19 did not return to work until they had completed the recommended period of self-isolation and had proof of a negative LFT test. All staff tests both negative and positive were kept on a spreadsheet tracker, this meant the registered manager had oversight of all staff member self-isolation periods and accurate periods of exemption from PCR tests.
The premises were clean and hygienic. Since the beginning of the pandemic additional cleaning schedules had been introduced and standards of infection prevention and control (IPC) were audited regularly. Staff had access to all the personal protective equipment (PPE) they needed and had attended training in both PPE use and IPC measures to be followed.
Moore Place is a residential care home providing care for up to 60 people aged 65, some of whom are living with dementia. At the time of the inspection there were 50 people living at the service. The service is an adapted building that is comprised of five floors, one being dedicated to people living with dementia.
People’s experience of using this service and what we found
People told us that they were happy and felt safe living at Moore Place. We were told the home had a good standard of activities to meet people’s individual needs. The home also responded extremely well to people’s preferences and to deliver a high standard of person-centred care. People’s preferences were followed and staff respected equality and diversity.
Staff were knowledgeable in best safeguarding practise and how to keep people safe from the risk of abuse. There was a whistle-blowing policy available for all staff.
Risks were well managed and individual needs and preferences were met. Staff were knowledgeable of people’s individual needs which as a result meant people received person-centred care.
Staff received regular training in addition to their induction. And staff told us that they were supported by the management within the home. People and staff felt involved in the running of the home and there was a culture of inclusion, this was created through regular staff and resident meetings.
Staff and management worked well with health and social care professionals to ensure people accessed health professionals in a timely way.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
There was a positive culture within the home and improvements had been made by the registered manager. Quality audits were completed to ensure a high standard of care was maintained.
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 28 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Moore Place is registered to provide the regulated activity of accommodation for persons who require personal care to a maximum of 60 people, some of who have dementia.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People and their relatives told us they felt the service was safe. They stated that all staff were very kind and they had no concerns about their safety. Staff had received training in relation to safeguarding and they were able to describe the types of abuse and the processes to be followed when reporting suspected or actual abuse.
Staff had received training, regular supervisions and annual appraisals that helped them to perform their duties. New staff commencing their duties received induction training to help prepare them for their role. Staff told us that they worked with another member of staff until they and their registered manager felt they were competent to work on their own.
There were enough staff to ensure that people’s assessed needs could be met. It was clear that staff had a good understanding of how to attend to people’s needs.
Medicines were managed in a safe way and the recording of medicines was completed to show people had received the medicines they required. Staff were knowledgeable about people’s medicines and explained to people what their medicines were for. People were able to administer their own medicines and appropriate risk assessments had been produced to enable this.
Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way
People were not prevented from doing things they enjoyed as staff had identified and assessed individual risks for people. The registered manager logged any accidents and incidents that occurred.
The provider ensured that full recruitment checks had been carried out to ensure that only suitable staff worked with people at Moore Place.
People lived in a homely environment that had been adapted to the needs of people. Regular servicing of equipment used at the home was undertaken to ensure they remained in a good state of repair and were safe to use.
People were encouraged and supported by staff to be as independent as they were able. Staff supported people to eat a good range of foods. Those with a specific dietary requirement were provided with appropriate food. Staff monitored people’s nutritional and hydration needs. Referrals were made to the appropriate healthcare professionals when a person was identified at being at risk of dehydration or malnutrition.
People had access to external health services and professional involvement was sought by staff when appropriate to help maintain good health.
People told us that staff treated them with respect and ensured their privacy and dignity was maintained at all times. People were able to spend time on their own in their bedrooms and their personal care needs were attended to in private. People took part in a variety of activities that interested them.
Documentation that enabled staff to support people and to record the care they had received was up to date and regularly reviewed. People’s preferences, life stories, personal care needs, likes and dislikes were recorded.
If an emergency occurred or the home had to close for a period of time, people’s care would not be interrupted as there were procedures in place. Staff were aware of these procedures and how to safely evacuate people to a place of safety.
A complaints procedure was available for any concerns. This was displayed at Moore Place and each person was provided with a copy of this document.
Staff and the provider undertook quality assurance audits to ensure the care provided was of a standard people should expect. Any areas identified as needing improvement were attended to by staff.
Relatives and associated professionals had been asked for their views about the care provided and how the home was run and monthly resident meetings were held. Regular staff meetings took place so they could discuss events at the home and put forward ideas to help make improvements. Staff felt supported by the management of the home and that they could talk to the registered manager at any time.