CQC report explained · a residential care home
What the CQC found at Moordean
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found detailed, regularly reviewed risk assessments, suitable staffing and safe medicines administration. Staff understood safeguarding procedures and how to recognise people's triggers and communication.
- Effective?
- Good
- Staff had specialist training, supervision and appraisals. People were supported with their health, dietary needs, healthcare appointments and decisions made under the Mental Capacity Act.
- Caring?
- Good
- Staff were described and observed as friendly, calm and compassionate. People were supported to make choices, develop independence and have their privacy and dignity respected.
- Responsive?
- Outstanding
- Support was highly personalised and adjusted using information about people's moods, behaviour, preferences and progress. People were supported to take part in activities, use community services and maintain family relationships.
- Well-led?
- Outstanding
- Inspectors found strong leadership, a clear person-centred culture and regular involvement from the providers. Quality audits, behavioural data and feedback were used to review risks and improve people's experiences.
What inspectors found, December 2017
Rated Outstanding overall; inspectors found safe, kind and highly responsive care with strong leadership.
This was the first inspection of the home. It took place on 17 August 2017 and was announced. Two inspectors and an expert by experience observed care, spoke with people, relatives, staff and health professionals, and checked care files, medicines, staff records and other documents.
The home supported six adults with complex learning disabilities, mental illness and behaviours that could cause harm. Inspectors found detailed risk assessments, suitable staffing, safe medicines practice and staff who understood people's communication and support needs.
The strongest findings were about personalised support, community involvement and leadership. Positive Behavioural Support was used to reduce distress, physical interventions and social isolation. The home was rated Good for Safe, Effective and Caring, and Outstanding for Responsive and Well-led.
Outstanding is the highest CQC rating. It means inspectors found care that was consistently exceptional in the areas rated Outstanding at the time of this inspection. The report does not identify any breaches of regulations.
Reduced restrictive interventions
The home used Positive Behavioural Support and data about people's behaviour to reduce distress and the need for physical interventions.
“At Moordean there had been 959 fewer instances of restrictive physical interventions used over a 12 month period prior to the this inspection.” from the report
Personalised support
Care plans broke goals into small, realistic steps. People were supported to make choices, learn skills and become more independent.
“The person's progress was monitored daily and weekly and the personalised targets were adjusted to promote successful outcomes.” from the report
Community and family life
People were supported to take part in activities and build relationships in the community. Staff also worked with relatives to restore important family contact.
“The individual [People] have access to a wide range of activities and participation in community life.” from the report
Strong leadership and review
The providers visited weekly, took part in clinical meetings and used audits and feedback to improve care, safety and staff support.
“The providers visited the people in the service on a weekly basis. They attended the weekly clinical meetings where discussions took place about people's progress.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you use Positive Behavioural Support for my relative, and how will you measure whether it is reducing distress or restrictive interventions?
- 02How will you make sure staffing levels and staff skills match my relative's risks at different times of day and during community activities?
- 03How will my relative be involved in setting and reviewing their personal goals, especially goals about independence?
- 04How will you involve our family in care planning and support contact with our relative?
- 05The report refers to six improvement areas identified through feedback. What were these areas, and what action has been taken?
This was the home's first comprehensive inspection and covered all five CQC questions: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 13 December 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Moordean
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2017Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- September 2016
Registered with the Care Quality Commission on 5 September 2016.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
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39 live-in carers within about an hour of Kent
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.