Background to this inspection
Updated
27 March 2021
The inspection
This was a targeted inspection to check whether the provider had met the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 on a specific concern we had about the management of risks to people.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Moorlands Nursing 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.
The service did not have a manager registered with the Care Quality Commission (CQC). This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection-
We observed interactions between staff and people. We also spoke to five staff members, including the manager, the assistant manager, a nurse, a care worker, an activities co-ordinator and a housekeeper. We reviewed a range of records. This included the current health and safety risk assessments, four people’s care records, clinical governance records and accidents and incident forms.
After the inspection –
We continued to seek clarification from the provider to validate evidence found. We spoke to four relatives by telephone to gain their experience of the care provided at the service.
Updated
27 March 2021
About the service
Moorlands Nursing Home is a care home providing accommodation and personal care to people. The home accommodates up to 41 people in one adapted building. People living in the home had a range of needs including those living with dementia and/or long-term health conditions. At the time of the inspection, 30 people were using the service.
People’s experience of using this service and what we found
Risks to people were managed effectively to reduce possible harm. Management plans provided guidance to staff to promote people’s safety. People were safeguarded from the risk of abuse. Staff had received safeguarding training and knew actions to take to report abuse. Incidents and accidents were managed in a way that lessons were learnt from them. People’s medicines were administered and managed safely. There were enough nursing and care staff available to support people. Staff were trained in infection control and followed procedures to reduce risks of infection.
Thorough needs assessment was conducted in line with best practice guidance before people were accepted to use the service. People were supported to eat a balanced diet and drink enough to keep hydrated. Staff were supported in their roles through effective induction, training and supervision. People had access to healthcare services they needed to maintain good health; and staff liaised effectively with other services.
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’s consent was sought for the care and support they received.
The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Relatives and healthcare professionals were involved in making decisions for people in their best interests where this was appropriate.
Staff were kind and compassionate to people. People were treated with respect and dignity. People’s care and support was tailored to meet their individual needs. People’s end of life wishes were documented in their care plans and followed. People were supported and encouraged to participate in activities they enjoyed. The home was safe, well decorated and suitable to the needs of people.
People and their relatives knew how to raise complaints about the service. The registered manager responded to complaints appropriately, in line with the provider’s procedure. The registered manager engaged people, their relatives and external organisations to develop and improve the service. The service had effective systems to monitor the quality and safety of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 26 June 2017). At this inspection the service remained Good overall.
Why we inspected
This was a planned inspection based on the previous rating of the service.
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.