Background to this inspection
Updated
26 February 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors on day one and one inspector on day two.
Service and service type
Moorhaven Care Home Ltd is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service and sought feedback from the local authority who monitor the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two visiting relatives to ask about their experience of the care provided. We spoke with the registered manager, three care staff members and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records, including three people's care records, risk assessments and three people’s medication administration records.
We looked at three staff personnel files around staff recruitment, training and supervision. We reviewed records relating to the management of the service, audits, and a variety of policies and procedures developed and implemented by the provider.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
26 February 2020
About the service
Moorhaven Care Home is a large property which consists of a Victorian main building with modern
extensions and lift access to the upper floor. The service provides residential and nursing care for up to 33 people. At the time of our inspection 26 people were living at Moorhaven.
People’s experience of using this service and what we found
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 protected from abuse. Staff understood how to recognise and report any concerns they had about people's safety and well-being.
People’s needs were assessed before starting with the service. People and their relatives, where appropriate, had been involved in the care planning process.
The provider followed safe recruitment processes to ensure the right people were employed. Staff training included an induction and ongoing training to ensure staff had the knowledge and skills they required to meet people's needs. There were enough staff on duty each day and night to keep people safe.
Risks to people’s health and wellbeing were assessed and mitigated. People's medicines were managed safely. The home was clean, and staff followed procedures to prevent the spread of infections.The premises were homely and we observed a relaxed atmosphere throughout the home where people could move around freely as they wished.
People received food and drink of their choice. When required, people were supported to access healthcare professionals and receive ongoing healthcare support. People were supported to share their views and shape the future of the care they received.
Care plans provided staff with the information they needed to meet people's needs. People could choose how they wanted to spend their time and a variety of activities were offered to people. People were supported to receive end of life care in the way they wanted and which met their individual needs.
Staff worked with other agencies to provide consistent, effective and timely care. We saw evidence the staff and management worked with other organisations to meet people’s assessed needs.
Staff had formed genuine relationships with people and knew them well and were seen to be consistently caring and respectful towards people and their wishes.
The provider and registered manager followed governance systems which provided effective oversight and monitoring of the service.
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 31 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.