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Moorlands Grange Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 May 2019

About the service: Moorlands Grange is a residential care home providing short term and intermediate care for people living in the Kirklees area. Some people are provided with support from an on-site health care team including health care assistants, pharmacists, nursing, physiotherapy and occupational therapy with support from a visiting GP. Moorland Grange provides care to 40 people. There were 36 people at the service on the first day of our inspection.

People’s experience of using this service:

Risk assessments were in place but were not specific to the needs of the individual. They did not consider person specific reduction measures to guide staff to manage the risk of harm.

People told us staff provided a service that made them feel safe, promoted their independence and had a positive impact in their lives. Staff knew how to report potential abuse and to take immediate action to protect people.

Medicines management did not always follow evidence-based practice. We have made a recommendation about the management of some medicines.

Maintenance checks on the environment were robust and the service had an onsite maintenance person to coordinate any response required.

There were enough staff to meet people's needs and keep them safe. Due to the increasing complexity of people’s needs, the provider had identified the need for night staffing levels to increase.

People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. Staff felt supported by the management team.

People received support to eat and drink if this was part of their care plan. Staff knew how to access relevant healthcare professionals, and this was evidenced in people’s care records.

The service worked in partnership with other organisations and healthcare professionals to improve people's outcomes.

People's care and support had been planned in partnership with them, and regularly reviewed to ensure they achieved their goals. 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.

A range of audits and checks were undertaken to help monitor the quality of the service. Some of these needed to be more robust to ensure that the service consistently met CQC standards. Management were keen to make improvements to ensure they improved their service and sought advice to support this aim.

Rating at last inspection: Good (published 3 September 2016)

Why we inspected: This was a scheduled inspection based on the service previous rating.

Enforcement: We found one breach in the regulation. Information relating to the action the provider needs to take can be found at the end of this report.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 1 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 1 May 2019

The service remained effective

Details are in our Effective findings below.

Caring

Good

Updated 1 May 2019

The service remained caring

Details are in our Caring findings below.

Responsive

Good

Updated 1 May 2019

The service remained responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 1 May 2019

The service was not always well-led.

Details are in our Well-led findings below.

l-led