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Inspection carried out on 10 July 2019

During a routine inspection

About the service

Moorside is a care home providing personal and nursing care to up to 31 people. There were 27 people using the service when we inspected. The accommodation is arranged across four suites each accommodating up to eight people. The registered provider, St John’s Winchester, is a registered charity run by a board of Trustees.

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

People received outstanding person-centred care that met their individual needs. Activities were meaningful to people and provided positive outcomes, enjoyment and occupation. The end of life care was described as outstanding both by professionals and relatives. People's communication needs were identified and planned for. Relatives were confident that they could raise any issues or concerns with any member of staff or the management team and that these would be addressed.

Planned staffing levels had not always been met and feedback about staffing levels was mixed. The provider was currently reviewing this, and we have made a recommendation that this be approached in a more systematic way that is clearly based upon people’s needs. Care staff were well informed about risks to people’s health or wellbeing and knew how to deliver their care safely. Medicines were managed safely. The service was visibly clean throughout and no malodours were noted. Staff received training in safeguarding adults from harm and had a positive attitude to reporting concerns. There were some systems in place to learn from safety events and lessons learnt were shared effectively with staff.

People told us that staff were kind and caring. Staff provided comfort and support if people became anxious or upset. Staff demonstrated an inclusive culture and respected people’s individuality and that of their colleagues.

People needs were assessed and planned for. Staff were well trained and well supported and had the necessary skills and knowledge to perform their roles and meet their responsibilities. People’s nutritional needs were met. The design and layout of the building met people’s needs. 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. Action was being taken to ensure that best practice frameworks regarding consent were fully embedded.

There was a clear leadership and management structure in place which helped to ensure that staff at all levels were clear about their role and responsibilities. The service was well organised and had a range of systems in place to ensure its smooth operation and to support good practice and communication.

Rating at last inspection

In May 2018, the provider of Moorside made a change to their registration which meant that they were required to register as a new provider. This means that this is the first inspection of Moorside under the current registered provider.

Why we inspected

The inspection was a scheduled inspection based upon our methodology for newly registered services.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk