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Inspection Summary


Overall summary & rating

Good

Updated 9 November 2019

About the service

Moorfield House is a residential care home providing personal and nursing care to 30 people aged from 18 and over at the time of the inspection, some of whom were living with a dementia. The service can support up to 35 people in one large adapted building.

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

The service excelled at planning and delivering end of life care to people. Staff supported people and their relatives through their final days with complete dignity and offered a high level of personalised support. Relatives were also supported before, during and after people’s deaths and were provided with keepsakes to remember people. The registered manager ensured intensive emotional support was backed up by best practice. This included creating an information booklet to help people and their relatives anticipate and plan.

Staff at all levels respected people’s preferences and individualities. They took proactive steps beyond their job role to learn about people’s cultural and religious backgrounds to better enable them to care for people. This led to exceptional health and wellbeing outcomes for people, particularly reductions in anxiety and the development of new friendships and interests.

All staff ensured people living at the service had extremely engaging sociable lives. The registered manager found creative ways to ensure people were positively engaged; their independence was promoted, and their passions and interests maintained wherever possible. The service was working with people and the local community to reduce the risk of social isolation.

People and relatives were very positive, passionate and complimentary about the service. People received care from kind and caring staff who respected their privacy and dignity. The service worked with people, relatives and other professionals to create personalised care plans which helped to promote people’s independence.

People we spoke to were very positive about the culture of the service and the positive benefits living there had brought to their lives. Feedback provided by people living at the home was actioned immediately by the management team to improve the quality of care provided. The registered manager used this continuous feedback and annual feedback surveys to provide a bespoke service to people.

People and their relatives were very positive and happy with the care provided by staff. Staff knew people very well and were responsive to their changing needs. People and their relatives were involved in all aspects of their care planning, reviews and assessments.

There was a new registered manager in post since our last inspection and staff described her as, “A breath of fresh air.” The registered manager had created a positive and inclusive culture at the service. Staff were empowered to follow their own interests and were provided with additional training to improve the quality of care provided to people. Staff told us about the changes that the registered manager had introduced and said, “I can say I’m proud to work here.”

Staff were supported with regular supervisions, team meetings, learning sessions and appraisals. Staff were safely recruited and received a comprehensive induction from the provider. Training was effectively monitored, and refresher training was provided on a rolling basis.

Staff were encouraged to look at new ways of working to improve the service. The registered manager had worked with people, their relatives and staff to seek feedback and improvement ideas that would improve people’s outcomes and their experience of using the service. Staff told us that they could now provide person-centred care to people, which was individual to their needs, and were no longer task orientated.

The quality and assurance systems in place were used to monitor the safety and care provided to people. The management team used regular auditing to identify further areas and opportunities to continuously improve the service.

Inspection areas

Safe

Good

Updated 9 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 9 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 9 November 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 9 November 2019

The service was well-led.

Details are in our well-led findings below.