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Reports


Inspection carried out on 10 November 2020

During an inspection looking at part of the service

Moorfield Care Home is situated in a residential area close to Bury town centre. The home is registered to provide accommodation and personal care for up to 20 people, some of whom live with dementia. Accommodation is provided over two floors with access via a passenger lift. There are 16 single bedrooms and two shared rooms. At the time of the inspection there were 10 people living at the home.

We found the following examples of good practice.

¿ The provider was participating in the home testing programme for people living at the home and staff.

¿ All people entering the building had their temperature checked, sanitised their hands and donned appropriate personal protective equipment (PPE) before entering the home. We discussed the pathway for entering and exiting the property so the risk of cross infection was minimised.

¿ Regular cleaning schedules were in place to ensure all areas were effectively cleaned and reduced the risk of cross infection. Additional advice was sought in relation to the safe disposal of waste due to the outbreak.

¿ Sufficient supplies of PPE were readily available. Staff were observed wearing appropriate PPE. Staff received guidance and regular training in infection prevention and control measures and the appropriate use of PPE.

¿ At the time of the inspection the service was not receiving visitors. Alternative arrangements had been made to help people maintain contact with friends and family. These included, using electronic devices, telephone calls and letters. A social media page was also being developed so that photographs and events could be shared, where people had consented.

¿ To help maintain people’s well-being staff encouraged people to socialise with each other and join activities whilst maintaining social distancing.

¿ Due to staff isolating alternative cover arrangements had been made utilising staff from another home registered by the provider. Staff did not work across both services during this time.

¿ The service worked in partnership with other agencies and health professionals, to ensure people's needs were effectively met.

Further information is in the detailed findings below.

Inspection carried out on 11 December 2019

During a routine inspection

About the service

Moorfield Care Home is situated in a residential area close to Bury town centre. The home is registered to provide accommodation and personal care for up to 20 people, some of whom live with dementia. Accommodation is provided over two floors with access via a passenger lift. There are 16 single bedrooms and two shared rooms. At the time of the inspection there were 18 people living at the home.

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

Sufficient action had been taken to address the shortfalls identified at the last inspection. Management systems providing oversight of the service needed embedding to evidence on-going and sustained improvements.

The provider continued to meet the regulations in relation to infection control, safeguarding and complaints, health care and nutrition, health and safety and maintenance checks.

People and their visitors spoke highly of the service and the quality of the support provided by staff. Interaction were seen to be polite and respect and support was provided in a discreet and sensitive way. Activities and opportunities were provided helping to promote people’s autonomy, choice and independence. People, their relatives and staff were able to share their views about the service.

Care records provided information about their individual needs, wishes and preferences. 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. Where risks to people’s health and wellbeing had been identified, these were assessed and planned for. We have made a recommendation that the provider review their approach to peoples care in line with the expectations of Accessible Information Standard (AIS).

Staff were safely recruited and received the training and support needed to carry out their role. From our observations and discussions with people and staff we found sufficient numbers of staff were available to support people in a timely manner. Staff said they were supported in their role and felt team work and communication was good as the team had been so stable.

The management and administration of people’s prescribed medicines was safe. Appropriate referrals and access to a range of healthcare support was provided to help maintain people’s health and well-being.

People said there was always plenty to eat and drink. People’s dietary needs were understood by kitchen staff. The kitchen was seen to be clean and well-organised.

A good standard of accommodation was provided, which was clean and well-maintained. Suitable aids and adaptations were available to aid people’s mobility and promote their safety. Further consideration is being given to provide a more ‘dementia friendly’ environment to help people independently orientate themselves around the home.

Safe systems were in place for responding and reporting safeguarding concerns and complaints. People told us they felt safe and were confident their views were listened and responded to.

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 for this service was requires improvement (published 6 December 2018). At this inspection we found improvements had been made and the provider was no longer in breach of the regulation.

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.

Inspection carried out on 10 October 2018

During a routine inspection

Moorfield Care Home 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.

Moorfield Care Home is situated in a residential area close to Bury town centre. The home is registered with CQC for up to 20 people and at the time of the inspection was providing care, support and accommodation to 20 people who required personal care without nursing.

Moorfield Care Home had been taken over by a new provider, Churchlake Care Limited, and this was the first inspection under the new provider.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Good Governance. This was because there were governance systems in place but these were not sufficiently robust to enable the provider to have good oversight.

Sufficient staff were in place to meet people’s care and support needs. However, there was no system in place to assess appropriate levels of staffing as people’s care needs changed.

The home was clean and tidy but not all actions from the previous infection control audit had been completed. This was addressed following inspection.

There were processes in place for the safe recruitment of staff and we spoke with the registered manager about ensuring records are accurately maintained in this area.

The registered manager had an overview of staff training. Staff were receiving relevant training, competency checks and supervision. However, some training needed refreshing as it had been some time since staff had completed it.

The registered manager was maintaining a record of accident and incidents and analysing this information to reduce the potential for reoccurrences.

People’s medicine was securely stored and people were safely supported to take any medicines they might need. This included medicines taken ‘as required’ for pain relief.

People could choose what they wanted to eat and the cook knew people, their preferences and nutritional needs well.

The requirements of the Mental Capacity Act 2005 were being met. People were supported to have choice and control of their lives; the policies and systems in the service supported this practice.

Staff were aware of their responsibilities in protecting people from abuse and could demonstrate their understanding of the procedure to follow so that people were kept safe.

People were supported by caring staff who knew them and their care needs well.

Care records reflected people’s current needs, interests and preferences.

People told us they would like to have more to do in relation to daily activities. We recommend the service review the activities on offer for people.

The service had a complaints procedure and a variety of ways for people and relatives to provide feedback on the service. People had confidence that the registered manager and deputy manager would address any concerns they raised.

People spoke positively about the registered manager and deputy manager. Staff told us they were happy coming to work and saw the home as a family.