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Moorlands Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 June 2019

About the service:

Moorlands 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.

Moorlands Care Home accommodates up to 40 people in one adapted building. At the time of the inspection there were 27 older people, some people were living with dementia or had nursing needs.

People’s experience of using this service:

There were insufficient staff to meet people’s needs. Staff had not undertaken sufficient or appropriate training to enable them to meet the needs of people living with dementia and those who had behaviour that challenges. This meant there was potential for people’s safety, health and welfare to be at risk. Staff underwent a robust recruitment process. People were kept safe by staff who understood how to safeguard people from abuse and the actions they needed to take to protect people from the risk of harm. People’s medicines were managed safely.

People’s views about how they were treated, and the approachability and availability of staff was linked to staffing levels. People told us they sometimes felt rushed and that staff didn’t have time to sit and speak with them. People and family members stated staff were kind and caring and we saw examples of positive interactions between people and staff. People told us they were consulted about their care and that they were encouraged to make decisions. The service had received many thank you cards praising staff for the quality of care provided.

Staff had requested additional training in specific topics and had asked for a different method and style of training to be provided. People were supported to have sufficient amounts to eat and drink and were provided with the appropriate specialist diet where required. Staff supported people to maintain their health and well-being, which included liaising and working with a range of health care professionals, which had positive outcomes for people. 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.

There were opportunities for family members to be involved in their relative’s care, which included end of life care. Activities were provided, however not everyone chose to join in and some people said there were limited opportunities to go outside. Accessibility of information and communication styles were considered to support people in understanding key information. People were confident to speak with staff about any issues of concern to them.

The registered manager had requested additional resources to provide classroom-based training and training in key areas to drive improvement. The provider had systems in place to monitor the quality of the service with audits were undertaken on a range of topics. Information agreed to be forwarded to the Care Quality Commission following the site visit was not received. People, family members and staff were given the opportunity to comment upon the service. The registered manager and staff liaised and worked with partner agencies to support people in the best way possible.

Rating at last inspection:

Good. The last report for Moorlands Care Home was published on 5 October 2016.

Why we inspected:

This was a planned comprehensive inspection.

Enforcement:

We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to staffing. Details of action we have asked the provider to take can be found at the end of this report.

Follow up:

We have asked the provider to send us an action plan telling us what steps they are to take to make the improvements needed. We will continue to monitor information and intelligence we receive about the service to ensure good quality is provided to people. We wi

Inspection areas

Safe

Requires improvement

Updated 28 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 28 June 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 28 June 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 28 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.