Moorpine

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At the last inspection we rated this key question good. At this inspection the rating has remained good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a strong proactive and positive culture of safety, based on openness and complete honesty. Staff actively listened to concerns about safety and thoroughly investigated and reported safety events. Staff understood how to raise concerns and felt confident doing so, and told us concerns were taken seriously and addressed promptly. Staff described being involved in reviewing how the service worked and learning from incidents and experience. A staff member said, “When I share ideas or suggestions for improvements, I feel like they’re taken seriously and have been put into practice in the past.”

Systems were in place to ensure safe care pathways and transitions. The staff and management team worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. Professionals told us staff played an active role within multidisciplinary teams and attended appointments and meetings to support continuity of care. A visiting professional said, “They are deeply committed to achieving the best outcomes for the people they support and their families, always ensuring that the individual remains at the centre of everything they do.”

Staff worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. Staff understood safeguarding procedures and described concerns being acted on appropriately and within expected timescales. Staff understood when Deprivation of Liberty Safeguards (DoLS) authorisations would need to be sought and what to do if there were conditions imposed.

Staff worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Staff took a balanced and proportionate approach to risk, which supported people and respected their choices. Risk assessments were in place and assisted staff to identify how to mitigate risks. A staff member said, “We involve people in the creation and reviewing of their own care plans as much as possible.” Staff were in the process of ensuring the new electronic care record system captured all of the relevant information.

The provider maintained a safe and suitable environment at Moorpine. Professionals told us the home was always clean and tidy, and relatives described the service as a place where people felt comfortable and at home. Staff explained that maintenance systems were in place and risks within the environment were addressed promptly to keep people safe. The staff team knew who to contact when people might benefit from additional aids or equipment. Staff were trained to use any equipment people needed.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. People confirmed there were always enough staff on duty. Recruitment practices and training levels met the required standards. A staff member said, “Recently in Moorpine, staffing has been an issue as we had 2 staff members leave at the end of last year, it was a bit of a difficult time in regards to having the staff for activities and such, but each house is always there to support. The staff team at Moorpine really came together to take on the extra responsibilities of having 2 staff members leave in a short period of time.”

Staff assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. Staff followed the required infection control guidelines. They supported people to adopt good hygiene practices.

Staff made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. If audits identified any gaps, such as too much stock, action plans were implemented to address them, and staff were reminded of best practice. They followed Stopping Over Medication of People with a Learning Disability, Autism or both (STOMP) principles. Staff who administered medicines had the appropriate training and competency checks. Storage areas were secure, and temperature checks were recorded. Medication Administration Records were accurate, and controlled drugs were handled in line with regulations.