Moreland House Care Home

Updated 23 September 2022

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 completed by one inspector.

Service and service type

Moreland House 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. Moreland House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a manager in post and they were in the process of applying to register with us.

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 and professionals who work with the service. 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, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During our inspection

We spoke with three people, the manager, the deputy manager, one of the directors and one senior care staff. We looked at four people’s care plans, three staff recruitment files, medicines administration records, staff training and supervision records, satisfaction surveys and records relating to the running of the service.

We were not able to get the views of some people who used the service due to their needs. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. Following the inspection, we continued to seek clarification from the provider to validate evidence found. We spoke with five relatives to obtain their views of the service. We also contacted three members of staff to ask them questions about their roles and to confirm information we had received about them during our inspection.

Updated 23 September 2022

About the service

Moreland House is a residential care home providing personal and nursing care to older people. The service is an adapted building with facilities over three floors, with rooms including en-suite bathrooms. The service was registered to provide support to up to 50 people and there were 48 people using the service at the time of our inspection.

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

People were protected from abuse as the provider had robust procedures and processes in place and staff had received training in this area. Risk assessments were in place which included information about how to manage and reduce risks to ensure people’s safety. The provider had a safe recruitment and selection processes in place. There were enough staff on duty to care for people. People’s medicines were managed safely. The provider had systems to ensure people, staff and visitors were safe regarding the spread of infection. There was a system in place to record and monitor accidents and incidents.

There were quality assurance and governance systems in place to drive continuous improvement. The provider sought feedback from people who used the service and their relatives about the service. Regular audits and checks were undertaken to ensure the service was run well. The management team worked with a number of health and social care professionals and this helped to ensure people’s needs were fully met.

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 03 April 2020).

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

Follow up

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