Moorland View Care Home

Updated 23 March 2023

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 Health and Social Care Act 2008.

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 an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Moorland View Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Moorland View Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually, with key information about their service A PIR is information providers send to us to give us key information about the service, what they do well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who lived at the home and 6 visiting relatives, to gain their feedback about the care and support provided. We spoke with the registered manager, the support manager, and a number of staff, including care staff, housekeeping staff and the lead chef. We also spoke with 4 visiting health and social care professionals.

We reviewed a range of records, including people’s care records and medicines records. We reviewed two staff recruitment files and a selection of staff supervision and training records. We also looked at a variety of records related to the management of the service, including policies and audits. We contacted 4 additional community health care professionals who visited the service regularly for their views about the care provided.

Updated 23 March 2023

About the service

Moorland View Care Home is a residential care home which provides personal care for up to 32 older people. Accommodation is provided over 2 floors, with a passenger lift available. At the time of the inspection 31 people were living at the home.

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

People received safe care. People told us there were enough staff to provide them with support when they needed it. Staff were recruited safely. They had completed safeguarding training and knew the action to take if people were at risk of abuse or avoidable harm. The home was clean and staff followed safe infection control practices, including wearing appropriate personal protective equipment (PPE). Staff managed people’s medicines safely; some minor improvements were needed to ensure medicines processes reflected national guidance. The safety of the home environment was checked regularly.

People received support which reflected their needs, risks and preferences. Staff received an appropriate induction and completed the training necessary to meet people’s needs and support them well. 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 received support with their dietary and healthcare needs and were referred for specialist support when they needed it. Feedback received from community professionals about the quality of care provided at the home, was very complimentary. The home environment was suitable to meet people’s needs and support their independence. Some repairs and redecoration were needed, and the provider had an ongoing plan of improvements.

The management team and staff were clear about their roles and responsibilities. They prioritised providing high-quality, individualised care which gave people a good quality of life. The service worked in partnership with a variety of community health and social care professionals to ensure people received any specialist support they needed. Community professionals gave us positive feedback about the management team. Management sought the views of people and relatives and listened to them. People and relatives told us they were very happy with the management of the service and staff found management approachable and supportive. Regular checks and audits completed by management were effective in ensuring appropriate standards of quality and safety were maintained at the home.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 14 October 2019) and there were breaches of regulation. The provider completed an action plan after that inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended the provider review their processes for managing accidents and incidents, ensured the home environment was dementia friendly and reviewed their quality assurance processes. At this inspection we found the provider had acted on the recommendations and made the necessary improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.