Moorview Care (East Yorkshire and Hull)

Updated 30 September 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.

Inspection team

The inspection was carried out by 2 inspectors over 2 days. An Expert by Experience made phone calls to relatives. 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

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in a supported living setting.

Registered Manager

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

We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.

What we did before inspection

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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvement they plan to make.

During the inspection

We spoke with 2 people who used the service and 5 relatives to ask about their experience of care provided. We spoke with 11 members of staff including the operations manager, recruitment lead, registered manager, team leaders/managers and support workers. We also spoke to 2 professionals who visited the service.

We looked at 4 care files along with a range of medicine records. We looked at other records relating to the management of the service including recruitment, staff training and supervision, and systems for monitoring quality.

Updated 30 September 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Moorview Care (East Yorkshire and Hull) is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older and younger people, people who may be living with dementia, people with a learning disability and/or autism spectrum disorder, or people with mental health support needs. At the time of our inspection there were 11 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

Right Support:

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. However, further improvement was required when recording best interest decisions, and we have made a recommendation about this.

The service had effective safeguarding systems and processes in place and people were supported to stay safe. People were involved in their care and support plans and risk assessments were person-centred with the least restrictive option always considered. Outcomes were identified for people and appropriate referrals to external services were made to ensure people’s needs were met. People had access to enough food and drink and mealtimes were set to suit people’s individual needs.

Right Care:

There were enough competent staff on duty to ensure people received safe care. Staff completed a comprehensive induction and supervision, and appraisals were used to develop and motivate staff. Staff treated people with kindness, dignity, and respect. People and their families were consistently positive about the caring attitude of staff. Care planning was focused on the person’s whole life, including their goals, skills, abilities and how they preferred to manage their health.

Right Culture:

Staff understood their responsibility to raise concerns and report incidents and near misses, and were fully supported to do so. The service had a positive culture that was person-centred, open, inclusive, and empowering. Leaders and managers were available and led by example. Staff understood the service’s vision and values and felt respected, valued, and supported. People, their families and staff were involved in the development of the service and managers ensured feedback was acted on to shape services and culture. There was a strong focus on improvement and learning at all levels.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 15 December 2022). The provider completed an action plan from the previous 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.

Why we inspected

We received concerns in relation to the safe care and treatment of people using the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. Due to improvements found on this inspection we decided to undertake a comprehensive inspection to review all the key questions.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection. We found no evidence that people were at risk of harm from this concern.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moorview Care on our website at www.cqc.org.uk.

Recommendations

We recommend the provider reviews its practice in the recording and retaining of best interest decisions.

Follow up

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