Moorpine

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At the last inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff described a strong person‑centred approach and involvement of people in care planning. One staff member told us, “People are involved as much as possible. Their choices and preferences are always considered, and families are involved where appropriate.” While staff knowledge of people was good, this was not always consistently reflected in written assessments and reviews. The provider had introduced a new electronic care record system and staff were in the process of recording all relevant information. We discussed how these could be enhanced by the inclusion of more specific information.

Care and treatment was delivered in line with current best practice and supported by evidence-based tools. Staff demonstrated strong knowledge and understanding around how to work with Autistic people. Staff consistently described using agreed approaches to support people safely and effectively. A staff member said, “I do think I have enough support to undertake my role. Including various training, good support from management and a good team of staff around me.” Staff confirmed they had access to appropriate training to deliver care in line with people’s needs. Relatives reported positive outcomes from care and treatment. A relative said, “Over the years the teams and managers have been flexible and, overall made every effort to meet [person’s] changing needs.It has not always been easy and there have been some very challenging times, but we’ve never been made to feel that their placement has been at risk.”

Staff worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff described strong teamwork and mutual support across the service. A staff member told us, “We work well as a team and support each other to make sure everything gets done properly.” Staff worked effectively with health and social care professionals, including community learning disability teams to make sure care was tailored to people’s needs. They discussed how the range of training provided really assisted them to deliver good care and support. A staff member said, “We have regular training such as understanding autism, using specialised techniques, and online regular training as well, we also have regular staff meetings which allow us to talk through any ongoing issues or changes as a team. I find that these meetings are helpful to make sure the whole staff team has the same understanding.”

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. People’s nutritional needs and preferences were assessed and well understood by staff. Staff had a good knowledge of people’s preferences and dislikes regarding food. Staff helped people access healthcare professionals promptly, and relatives described being informed quickly when concerns arose. People’s emotional wellbeing was supported through caring interactions, and staff showed empathy and patience.

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. Quality assurance processes included regular audits of medication, infection control, and care environment, with action plans implemented promptly. Staff had found techniques which reduced distress for people, such as people being easily calmed through listening, reassurance, and meaningful conversation. A relative told us, “[Person] is happy and settled at Moorpine. The managers and all the staff are dedicated and very committed to providing good, personalised care to all the residents.”

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the requirements of the Mental Capacity Act 2005 and associated codes of practice. Capacity assessments and ‘best interest decisions’ were in place, but these needed extending to cover a wider range of decisions. For example, only going out with staff, management of monies, and restricted access to items such as knives.