We carried out a review of the data available to us about Moorhaven 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 Moorhaven, you can give feedback on this 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.
Moorhaven is a residential care home providing personal care to up to 54 people. The home specialises in the care of older people. The home is divided into five suites which provide small kitchen areas and communal lounges for people. At the time of the inspection there were 49 people living at the home.
People’s experience of using this service and what we found
People were generally happy with the care and support they received. One person told us, “It’s nice, I’m well looked after.”
People were supported by a provider who had put in additional resources to help the home to make improvements. This included changes to the management team. Staff told us the management team were open and approachable and they felt improvements were being made.
Staff had received training and were following up to date guidance in infection prevention and control, to minimise risks to people.
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 usually had their healthcare needs met. People told us staff contacted professionals if they were unwell. Records did not always show that referrals to healthcare professionals were followed up to make sure people got the treatment they needed.
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 requires improvement (published 3 March 2020).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulation 11.
We found that improvements had been made in the governance and quality monitoring. However, there had not been enough time for us to assure ourselves that these improvements could be sustained, and the provider was still in breach of regulation 17.
Why we inspected
We undertook this targeted inspection to follow up on concerns identified at the previous inspection regarding the implementation of the mental capacity act, and further issues highlighted to us since the previous inspection. These included concerns about how people’s healthcare needs were monitored and met and issues regarding the management of the home. We found no evidence during the inspection that people were now at risk of harm in regard to these concerns.
CQC have introduced targeted inspections to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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 coronavirus and other infection outbreaks effectively.
You can see what action we have asked the provider to take at the end of this full report.
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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Moorhaven is a residential care home which is registered to provide personal care and accommodation to up to 54 people. The home specialises in the care of older people. At the time of the inspection 52 people were living at the home.
With the exception of 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 where the provider had systems to monitor and audit the quality of the service people received. However, these systems had not always been effective in identifying shortfalls. A breach of regulations was identified because concerns highlighted at this inspection had not been identified and addressed by the provider’s own quality assurance systems.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
Improvements were needed to make sure people’s legal rights were fully protected. Some people at the home were living with dementia and may have been unable to give informed consent to some aspects of their care. Assessments of people’s capacity to make specific decisions had not been carried out and therefore best interests decisions had not been completed. This is a breach of regulations.
The administration and recording of prescribed creams and lotions needed to be improved to make sure their effectiveness could be monitored to promote people’s well- being.
We have made a recommendation about the management of prescribed creams and lotions.
People who had the mental capacity to make decisions were always asked for their consent before they received their care.
People felt safe at the home and with the staff who supported them. People looked relaxed and comfortable. Staff were friendly and polite.
People had access to healthcare professionals to meet their individual needs. Staff monitored people’s health and well-being and worked in partnership with other professionals to make sure their needs were met.
People were able to follow their own routines and staff respected people’s privacy and encouraged their independence. People told us they were able to choose when they got up, when they went to bed and how they spent their day.
People felt well cared for at the home. One person said, “I was apprehensive about moving here but I don’t regret making the move. I feel well looked after.” A visiting relative commented, “We have been generally pleased. [Person’s name] is smiling and happy.”
People were able to have visitors at anytime and were able to meet their visitors in communal areas or in the privacy of their rooms. Some people had made friends with other people at the home and told us how much they enjoyed the company.
People lived in a home where the provider and management team were open and approachable. They used feedback from people to influence changes and to make improvements. People told us they could talk to staff or managers about anything and when they raised concerns they were dealt with promptly.
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 15 August 2017.)
Why we inspected
This was a planned inspection based on the previous rating.
We have found evidence that the provider needs to make improvements. Please see the safe, effective 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.
Follow up
We will request an action plan from 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.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated good;
People received safe care because the provider had appropriate policies and procedures in place to minimise risks to people. People told us they felt safe at the home. One person said, “I definitely feel safe here.” A visitor told us, “The staff are always so kind and polite with people.”
People had access to healthcare professionals in accordance with their individual needs. People’s nutritional needs were assessed and they received food in line with their needs, wishes and preferences. Comments about food included; “Food is very good, especially the cooked breakfasts,” “Food here is lovely. Sometimes you have to say no thank you for the sake of your waistline” and “Always plenty of choice. Always tasty and plentiful.”
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were cared for by staff who were kind, caring and patient. People’s privacy and dignity were respected and they were involved in decisions about how their care and support was provided. Friends and family were always made welcome in the home.
People were able to make choices about their day to day lives and staff respected people’s individual routines. Various activities and trips were arranged and people were able to join in with activities that interested them or follow their own interests and hobbies. One person told us, “I am quite content with everything. They tell me what’s happening each day and sometimes I join in and sometimes I don’t. My choice.”
The service was well led by a registered manager who was very open and approachable. One person said, “She [registered manager] comes round every morning so you can always have a word. If it’s something more private you can go to the office. She has a very open door policy.” The provider had systems in place to make sure people’s views were sought and on-going improvements were made to the care people received and the facilities available to them.
Further information is in the detailed findings below
This inspection was unannounced and took place on 11 August 2015.
Moorhaven provides personal care and accommodation for up to 54 people. The home is divided into six small units. Moorhaven specialises in the care of older people. At the time of the inspection there were 47 people at the home.
The last inspection of the home was carried out in December 2013. No concerns were identified with the care being provided to people at that inspection.
There is 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 2008 and associated Regulations about how the service is run.
People received care that was responsive to their needs and personalised to their wishes and preferences. However care plans were not always fully reflective of people’s up to date needs and wishes. This could potentially place people at risk of receiving care that did not meet their needs and preferences.
The registered manager was open and approachable and people felt able to share their concerns and suggestions. People told us they would be comfortable to make a complaint if they were unhappy about any aspect of their care.
People felt safe at the home and were complimentary about the staff who supported them. People told us staff were kind and understanding. People felt supported to maintain their independence and to make choices about their day to day lives.
There were sufficient numbers of well trained staff to meet people’s needs in a relaxed and safe way. Staff assisted people in manner that respected their privacy and dignity.
Staff monitored people’s health and well-being and ensured they had access to appropriate healthcare professionals when needed. People’s care was adjusted to meet their changing needs or wishes. There were systems in place to make sure people received their medicines safely from competent staff.
The quality of the service was constantly monitored and staff received appropriate training to make sure they were kept up to date with current good practice. People had confidence in the skills of the staff who supported them.
People were able to take part in a range of activities according to their interests. The home had a minibus which enabled people to access the local community for shopping and leisure activities. There was an activities worker who organised activities in the main part of the home. Care staff made sure alternative activities and social stimulation were always available for smaller groups in one of the units.
All areas of the building were clean and well maintained creating a comfortable environment for people. Each person had a single room which they were able to personalise to their tastes and needs.
Staff told us about the training they had received to recognise abuse and how to report it.
We found people had a choice of suitable nutritious food. People told us 'The food is lovely, there is always plenty to eat.'
We saw evidence that demonstrated how the service provision was assessed and monitored through audit and risk assessment.
Everyone felt that the care they received was personal to their particular needs and wishes. One person said 'I can be very fussy but they go along with how I like things done. All my special requirements are written down.' This demonstrated that care was person centred which ensured that it met people's individual needs and wishes.
There were effective systems in place to identify infection control risks and ensure that action was taken to minimise them. These included regular audits of practice and training for staff.
People were complimentary about the staff who supported them. Comments included 'The staff are nice, they never tell you what to do, just help you when you ask' and 'The staff are lovely and friendly.'
The company had a complaints policy which was displayed in the home. The policy gave people information about how to make a complaint and how complaints would be responded to. No one we spoke with had any complaints about the care or service they received. All said that they would be comfortable to speak with a member of staff if they had any worries. All were confident that any compliant would be responded to appropriately.
People told us they were able to make choices about their day to lives. They said they were able to choose what time they got up, when they went to bed and how they spent their day.
One person said 'You can carry on as normal but you know there is always someone to help if you need it.' Another person commented 'You can please yourself, they let you be as independent as you want.'
Everyone asked said that staff respected their privacy and were always sensitive when assisting with personal care. During our visit we observed that staff always knocked on bedroom doors and waited to be invited in before entering. One person living at the home said 'Nobody comes in without knocking.'
Throughout the visit we observed that staff interacted with people in a kind and polite manner. Everyone appeared very relaxed and comfortable with the staff who supported them. One person said 'I feel safe and respected here.'
We were told that the management in the home was extremely approachable and people said they were able to raise issues or make suggestions at any time.
Everyone asked said that they would be comfortable to speak with the manager if they had any worries or concerns. People felt that their concerns would be listened to and action would be taken to address them. One person said 'You can talk to anyone at anytime, they will always discuss things with you.
People were very complimentary about the staff who supported them. Comments included 'The staff are all very nice and there is always enough people on duty,' 'Staff are lovely, they know about the care I need' and 'Staff are very nice and always polite.'
People living at the home said that they were asked their opinions about the care that they received and were able to make suggestions about the running of the home.