Moorhead Rest Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Inadequate

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Moorhead Rest Home provides accommodation and personal care to people with dementia, physical disabilities and sensory impairments. We assessed all quality statements under the five key questions of Safe, Effective, Caring, Responsive and Well Led. We undertook on-site visits on 20, 22 and 27 August 2024. We identified breaches of the regulations in relation to safe care and treatment, staffing, good governance, need for consent, premises and equipment and fit and proper persons employed. We found concerns relating to the safety of the environment, medicines and risk management. Incident forms were not always fully completed, and referrals were not always been made to the appropriate agencies. Records relating to people’s care were not always consistent and risks to people had not always been taken into consideration. Quality assurance systems and governance processes were not effective, and audits did not identify concerns found during the assessment process. Policies and procedures were not always being followed and safe systems were not in place for the recruitment of staff. Records of people’s consent to their care were not completed and information about people’s Deprivation of Liberty Safeguards (DoLS) were not always up to date. Staff told us they felt people were well cared for, however, staffing levels prevented meaningful activity and stimulation from taking place. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

People and their relatives felt safe using this service and felt the care provided was of a good level. However, concerns were raised in relation to staffing levels. One person said, “There is not enough staff. We seem to be waiting ages. I have a call bell, but I rarely use it. They seem short staffed.” Concerns were also raised about the lack of activities and stimulation that was provided. One relative said, “Most of the time people are just sat around communally in the lounge, just watching TV, dosing or talking.” There was no activity coordinator employed, and staff told us they did not always have time to provide meaningful activity for people. People and their relatives told us they had not always been involved in the care planning process and some people had not seen or knew about a care plan being in place. Some relatives felt they would not always be informed of healthcare referrals or appointments.