Moorlands Care Home

Updated 6 August 2021

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.

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.

Risk were assessed, monitored and managed to ensure people were kept safe.

Inspection team

This inspection was carried out by one 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

Moorlands Care Home is a care home, which provides nursing care.

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

The inspection site visit activity took place on 10 June 2021 and was unannounced. We returned on 15 June 2021 announced.

What we did before the inspection

We reviewed information we had received about the service since the last 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.

During the inspection

We observed people’s and staff’s interaction. We spoke with four members of staff including the registered manager, Nurse, senior care worker and care worker.

We reviewed a range of records. This included three people's care records and medication records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, audits of the service and policies.

Updated 6 August 2021

Moorlands Care Home is a 'care home with nursing'. 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.

Moorlands Care Home accommodates up to 40 people in one adapted building. At the time of the inspection there were 26 older people, some people were living with dementia or had nursing needs.

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

People, relatives and staff told us there was not enough staff to complete tasks and have quality time with people. Opportunities for continuous learning and improvement had not always been implemented.

Risks were assessed and managed to ensure people were kept safe. Medicines were administered in a safe way. The service learned lessons when things went wrong. There was a named infection control lead and the service was following infection control guidelines.

The registered manager was passionate about the service and wanted to achieve good outcomes for people.

Care plans reflected people’s current needs and it was clear how people were involved in reviewing these. Policies and procedures were in place to help ensure the quality and safety of the service provided. Working in partnership with others had been effective.

The provider understood and demonstrated a duty of candour in their approach to complaints management. Checks on equipment and premises were in place.

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 requires improvement (published 28 June 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made/sustained, and the provider was still in breach of regulations

Why we inspected

We undertook this focused inspection to check whether the provider had followed their action plan and to confirm they now met legal requirements regarding Regulation 18 (Staffing) of the Health and Social Care Act 2008 (Regulated Activities).

This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has not changed. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.