Archived: Moor House Residential Care Home

Updated 7 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 12 September 2017 and was unannounced. This was a comprehensive inspection 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.

Before the inspection we reviewed the information we had about the service. This included any notifications of significant events, such as serious injuries or safeguarding referrals. Notifications are information about important events which the provider is required to send us by law. We asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR before the inspection to check if there were any specific areas we needed to focus on.

During the inspection we spoke with seven people who lived at the service and three relatives. We spoke with the registered manager, five members of staff and the chef. We looked at the care records of two people, including their assessments, care plans and risk assessments. We looked at how medicines were managed and the records relating to this. We looked at records relating to staff recruitment, support and training. We also looked at records used to monitor the quality of the service, such as the provider’s own audits of different aspects of the service.

Updated 7 October 2017

Moor House Residential Care Home is a 24 bedded residential care home. There were 20 people living at the home on the day of our inspection.

At the last inspection on 19 March 2015 the service was rated ‘Good.’ At this inspection we found the service remained ‘Good.’

People continued to be kept safe at Moor House Residential Care Home because staff were knowledgeable about the signs of abuse and the processes to follow when they suspected abuse. The provider continued to follow safe recruitment practices that ensured only suitable staff were employed at the home. Risk assessments were in place that enabled people to remain safe and provided guidance to staff about the risks and how to maintain people’s safety. Records of accidents and incidents were maintained and actions to help to prevent the re-occurrence of these had been implemented. There were sufficient numbers of staff to attend to the needs of people. Medicines were managed and stored safely and people received their medicines on time and as prescribed by their GP.

Staff continued to receive training, regular supervision (one to one meeting) and annual appraisals that helped them to perform their duties. Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way. Staff supported people to eat a variety of freshly prepared foods and all dietary requirements were met. People had access to all external healthcare professionals and their involvement was sought by staff to help maintain good health.

Staff showed kindness and compassion to people and respected people’s privacy and dignity. People were able to choose how they spent their time, could freely access all communal areas of the home and their personal care needs were attended to in private. People’s relatives and visitors were welcomed and there were no restrictions of times of visits.

Documentation that enabled staff to support people and to record the care they had received was up to date and continued to be regularly reviewed. People and their relatives were involved in the reviewing of their care. People took part in a variety of activities that interested them. A complaints procedure was available to people, relatives and visitors. Complaints received had been resolved in accordance with provider’s complaints policy.

Staff and the provider undertook quality assurance audits to ensure the care provided was of a standard people should expect. The provider had an effective system in place to monitor the quality of care and treatment provided at the home. People and staff were provided with opportunities to put forward their views about how the home was run during residents, relatives and staff meetings.