The Moorings

Updated 7 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

The Moorings 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave a short period notice of the inspection because we needed to be sure there would be a member of the provider’s management team available to facilitate the inspection and no one in the service had contracted COVID-19.

What we did before the inspection

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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and three relatives about their experience of the care provided. We spoke with eleven members of staff including a director, the operations manager who is the nominated individual who is responsible for supervising the management of the service on behalf of the provider, quality assurance manager, deputy manager, senior care staff, activities, and domestic staff. We observed care provided and interaction by staff and people using the service.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training and quality assurance were reviewed.

Updated 7 April 2020

About the service

The Moorings is a residential care home providing personal care to up to 53 older people in one adapted building. At the time of the inspection there were 49 people using the service, some living with dementia.

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

Risks to people were managed well, risks were assessed and measures in place to reduce them. This helped to keep people safe from avoidable harm and abuse. There were enough staff to meet people’s needs and staff recruitment was undertaken safely. People received their medicines when they needed them, and regular checks reduced risks associated with medicines. Infection control processes reduced the risks of cross contamination. There were systems to learn from incidents and these were used to drive improvement.

Staff were provided with training and support to meet people’s needs effectively. People’s health and dietary needs were assessed and met, any wellbeing concerns were referred to health care professionals. 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.

People were treated with respect and compassion by staff who knew them well. People’s rights to independence, privacy and dignity were promoted and respected. People’s preferences relating to the care they received were valued and listened to.

People’s individual needs were assessed, planned for and guidance provided to staff in how these needs and preferences were met. This included people’s end of life decisions. People had the opportunity to participate in social activities. There was a complaints procedure in place.

The service had systems to assess and monitor the care and support people received. Where shortfalls were identified, actions were taken to address them. There was an open culture, and people's views about the service were valued and used to drive improvement.

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 6 July 2017).

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.