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Moorhouse Nursing Home Requires improvement

We are carrying out a review of quality at Moorhouse Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 February 2020

About the service

Moorhouse Nursing Home (Moorhouse) is a nursing home that providers care to older people, people with physical disabilities and complex medical needs. The home is registered to provide support to up to 38 people in one adapted building. There were 31 people living at the service at the time of our inspection.

People’s experience of using this service and what we found

Despite some positive experiences for people living at the service, there was a lack of confidence regarding the way the service was managed. The views of people and their representatives were not always listened to and acted upon. Some people did not feel confident to express concerns, whilst others said they had, but this had not led to improvements. There was a disconnect between the manager and the staff team which had been noticed by people, relatives and visitors. The culture within the service was not open and inclusive.

Whilst staffing levels had been increased since our last inspection, staff were not always deployed appropriately to support people effectively across the service. In the morning people were left in communal areas without staff support for a prolonged period.

There was a lack of consistent oversight in the monitoring of the service. Governance systems had not always resulted in improvements being made or lessons learned. Recent changes at provider level were reported to be addressing quality assurance processes. As these were not implemented at the time of inspection, we were unable to judge the effectiveness of these.

People were positive about the support they received from care staff. They told us that care staff were kind and respectful towards them. Opportunities for people to engage in social activities was improving, although more work was needed to ensure this was extended to people who were cared for in their rooms.

People felt safe with staff and staff understood their role in safeguarding them form harm. Staff had completed training relevant to their role and nursing staff had taken steps to keep up to date with clinical best practice.

People’s needs were assessed and care plans were in place which provided useful information about people’s needs. 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.

Nursing staff had a good knowledge about people’s medical needs and took steps to keep people safe and well. Medicines were managed safely, and people’s nutrition and hydration needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 14 January 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

We have found evidence that the provider needs to make improvements. Please see the Safe, Responsive and Well Led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Why we inspected

This was a planned inspection which was brought forward based on the change to the rating at our last focused inspection.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 29 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 29 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 29 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 29 February 2020

The service was not always well-led.

Details are in our well-Led findings below.