Moorhaven

Updated 6 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Moorhaven is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Moorhaven is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at all the information we had received from and about the service since the last inspection.

We used the information gathered as part of CQC monitoring activity that took place in February 2022 to help plan the inspection and inform our judgements.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 11 people, two visiting family members and seven members of staff. This included care and ancillary staff. We also spoke with one visiting healthcare professional.

We also spent time with a member of the provider’s quality and governance team.

We met with the registered manager who was available throughout the inspection and the area manager was present for part of the inspection.

During the inspection we spent time in communal areas and observed interactions between people and the staff supporting them.

We looked at a sample of records. These included, four staff files, five care plans, copies of audits and action plans, minutes of staff meetings and some health and safety records.

Updated 6 August 2022

About the service

Moorhaven is a care home. It is registered to provide accommodation and personal care to up to 54 people. The home specialises in the care of older people. At the time of the inspection there were 46 people living at the home.

Except for four bedrooms, all accommodation is on one level which is split into smaller 'suites.' Each suite has a communal area with a small kitchen.

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

People lived in a home which was well led by an experienced registered manager. The provider had systems in place to monitor the standard of care people received and to make ongoing improvements.

There were ways for people to express their views and make suggestions about changes they would like to see.

People had good access to healthcare professionals to make sure they received the care and treatment they required. Staff followed recommendations from professionals to promote people’s well-being.

People were supported to have maximum 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.

People were able to make choices about their day to day lives. We saw people followed their own routines regarding what time they got up, when they went to bed and how they spent their day.

People were happy with the food provided and were able to make choices about their meals. People who needed support to eat received this from kind and patient staff.

People felt safe at the home and looked comfortable and relaxed with staff who supported them.

People received their medicines safely from staff who had been trained to carry out this task. People told us they got their correct medicines at the right time.

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 (report published 3 March 2020.) There were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We carried out a targeted inspection to look solely at areas of concern and breaches of regulation on 17 December 2020. We did not change the rating at the targeted inspection as we did not look at the whole Key Questions. Following the targeted inspection, the service remained in breach of Regulation 17 – Good governance.

At this inspection we found improvements had been made and the provider was no longer in breach of a regulation.

At our last inspection we recommended that the provider reviewed the management of prescribed creams. At this inspection we found the provider had acted on this recommendation and had made improvements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report covers our findings in relation to the Key Question Well-led which contained the requirement. We also looked at the Key Questions Safe and Effective as they were previously rated as Requires Improvement.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moorhaven on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.