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Archived: Moorfield House Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 June 2019

About the service: Moorfield House Nursing Home is a nursing home that was providing personal and nursing care to 49 people at the time of the inspection. Care was provided to people who were accommodated in two separate units. One for older people and one for people with physical disabilities.

People’s experience of using this service: We identified a number of concerns relating to fire safety which put people at risk of harm. Following our inspection, we contacted the fire service and they visited the service and issued an enforcement notice.

Systems were in place to monitor the quality of the service. However, these were not robust and had failed to identify the issues we found. Where audits identified areas for improvement we saw action was not always taken.

Issues relating to records were identified. Each person had a range of care plans which were detailed and included how they wished to be cared for. However, these differed between the two units and were not always completed and reviewed in a timely manner.

People told us that they were happy at the service. They gave examples of how staff supported them to remain as independent as they could be.

People and their relatives told us staff treated them well and with kindness and respect. Relatives said they were always made to feel welcome when visiting their family member.

Medicines were managed safely. Guidance was in place to ensure people received their as required medicines when they needed them.

Staff knew how to respond to possible harm and how to reduce risks to people. Lessons were learnt about accidents and incidents and these were shared with staff, to reduce the risk of further occurrences.

Staffing numbers were sufficient to keep people safe. The provider followed safe recruitment procedures to ensure staff employed were suitable for their role.

People's needs were assessed and care provided in line with their preferences. Staff completed an induction when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people. People received enough to eat and drink and were supported to use and access other health and social care professionals.

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 and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt supported and received supervision and appraisals of their performance. The registered manager was aware of their responsibility to report events that occurred within the service to the Care Quality Commission and external agencies.

Rating at last inspection: At the last inspection the service was rated Requires improvement (report published 24 April 2018). This service has been rated requires improvement at the last three inspections.

Enforcement: We have identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 in relation to the safety and governance of the service.

Please see the action we have told the provider to take at the end of this 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 monitor the progress of the improvements working alongside the provider and local authority. We will return to visit as per our re-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 21 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 21 June 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 21 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 21 June 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 21 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.