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Moreland House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 April 2020

About the service

Moreland House Care Home is a residential care home providing personal and nursing care to people.

The service can support up to 50 people. At the time of our inspection there were 43 people living there. The service is purpose built and care is provided to people on the upper three floors.

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

Care plans were not always person-centred, and people were at risk of social isolation and did not engage in meaningful or relevant activities. There were systems in place to make sure people received their medicines safely. We recommended the service ensure PRN protocols are consistent. The service was purpose built but not always adapted with people’s needs in mind. We recommended the service considers the design and adaptation for people living with dementia or other sensory and communication related support needs.

Systems were in place to keep people safe from harm and risk assessments were designed to keep people safe. Recruitment practices were safe, and people received consistent care in a timely manner. The service was clean and well maintained. Accidents and incidents were analysed to prevent reoccurrence and keep people safe from harm.

Staff were supported through training and supervisions to provide effective care and support. People were supported to have their nutritional needs met and the service worked well with other health and social care professionals to provide holistic care and support and keep people well. 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 told us they found staff were kind and caring and they were involved in their care and support. People felt they were encouraged to be as independent as possible and treated with respect and dignity.

Information was provided to people in an accessible format. People and relatives told us they felt able to make a complaint and were confident that complaints would be listened to and acted on. The service was good quality end of life care for people and their views and wishes had been considered.

People, relatives and staff spoke positively about the service and said it was managed well by the deputy manager who was applying to be the registered manager. There were systems in place to manage and monitor the quality of the service provided and the provider planned to audit the provisions and monitoring of activities for people. The management team had regular contact with people using the service, their relatives and the staff. The deputy manager liaised with other health and social care professionals to ensure a high-quality service was being delivered.

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 was requires improvement (published 21 August 2019) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made/ sustained, and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about end of life care; allegations of abuse and the management of falls. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the 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.

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

Enforcement

We have identified a breach in relation to person centred care.

Please see the acti

Inspection areas

Safe

Good

Updated 3 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 3 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 3 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 3 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 3 April 2020

The service was not always well-led.

Details are in our well-Led findings below.