CQC report explained · a residential care home
What the CQC found at Moore Care (Registered) Limited, Woodsmoore
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- The home was not always clean or well maintained, which affected infection prevention and control. Some medicines checks had identified problems that had not been acted on.
- Effective?
- Good
- Staff had relevant training and support, and people were supported with food, drink and healthcare. Mental Capacity Act principles were followed, although some information in care files was out of date.
- Caring?
- Good
- Staff were kind, compassionate and respectful. They knew people's preferences and supported their dignity, privacy, choices and independence.
- Responsive?
- Good
- Care was personalised and people were supported to take part in activities, use the community and follow their interests. Complaints were recorded, investigated and acted on.
- Well-led?
- Good
- There was a registered manager and a person-centred culture. Audits had identified some of the problems found, and managers said they were being addressed after the inspection.
What inspectors found, February 2019
Rated Good overall, but inspectors found the home needed improvement with cleanliness, infection control and some medicines checks.
This was an unannounced, comprehensive inspection on 21 January 2019. One inspector spoke with five people, staff and managers, and reviewed care records, medicines, staff files, training and other records.
The home was rated Good overall. Effective, caring, responsive and well-led were all rated Good. Safe was rated Requires Improvement because parts of the home were dirty and not well maintained, and some medicines checks were not being followed up.
People were described as safe, treated kindly and supported to make choices. The report says the overall rating stayed Good compared with May 2016, but the safe rating had deteriorated.
Kind and respectful care
Staff knew people well and treated them with kindness, dignity and compassion. People's choices and independence were supported.
“Staff were kind and caring, which meant people were treated with kindness and compassion.” from the report
Activities and choice
People were supported to take part in activities they enjoyed, including community trips and holidays where wanted. Different preferences were respected.
“The activities were person-centred and met people's needs.” from the report
Staff training and healthcare
Staff received training, supervision and specialist support for people's individual needs. Staff recognised when people were unwell and sought healthcare support.
“Staff had received the training they required to do their jobs and they also received regular supervision and appraisal.” from the report
Safeguarding and risk planning
People told inspectors they felt safe. Staff understood safeguarding, risk assessments and positive behaviour plans, and accidents were reviewed for lessons.
“Accidents and incidents were recorded and analysed for themes and patterns to consider if lessons could be learnt and these were shared with staff.” from the report
Cleanliness and repairs
needs fixingSome areas were dirty and damaged, including kitchen equipment, cupboards, a sink seal and floor coverings. Managers arranged some cleaning during the inspection and said repairs and new cleaning checks would follow.
“The service was not kept clean. Areas of the home were dirty and not well maintained to be able to be effectively cleaned.” from the report
Medicines checks
needs fixingPeople received their medicines safely, but audits had found problems with temperature checks, cleaning medicine pots and completing the controlled drug book. The report says action had not been taken before the inspection.
“However, we found no action had been taken about this.” from the report
Care records were difficult to use
minorSome care plans were very large and contained out-of-date information, making relevant details harder to find. The manager said this was being reorganised.
“However, care plans were very large and contained out of date information so it was difficult to locate relevant information.” from the report
Privacy and information
minorInspectors found personal information in a communication book and a monitor in a communal area that could affect privacy. Managers agreed to change these arrangements.
“However, we identified that staff were recording personal information in a communication book.” from the report
- 01What cleaning and repair work has been completed since the inspection, especially in the kitchen and on the floors?
- 02How are cleaning tasks and bedroom cleaning now checked and recorded?
- 03How do you check medicine fridge and room temperatures, clean medicine pots and complete the controlled drug book?
- 04How have care plans been updated and reorganised so staff can quickly find current information?
- 05How is the monitor used without affecting people's privacy in communal areas?
This was an unannounced comprehensive inspection covering all five questions and the overall rating. This explanation was written from the published report of 22 February 2019 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.
What inspectors found, September 2016
Woodsmoore was rated Good; inspectors found safe, kind and personalised care with effective management.
This was an unannounced inspection on 31 May 2016. One inspector reviewed information held by the CQC, spoke with three people using the service, staff and health and social care professionals, and checked care, recruitment, training and management records.
The inspectors found enough suitably checked staff to meet people's needs. Medicines were stored and given safely. Staff understood safeguarding, the Mental Capacity Act and Deprivation of Liberty Safeguards. People were supported with food, health appointments and decisions about their care.
The report describes staff as kind and respectful. Care plans reflected people's choices, communication needs and interests. People could see family and friends, take part in activities and help with household tasks.
The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. This reflects what inspectors found during this inspection visit.
Safe staffing and medicines
Inspectors found enough staff with suitable checks and skills. Medicines were stored, administered and recorded safely.
“People were supported by staff who had the knowledge and skills to provide them with safe care and support.” from the report
Kind and respectful care
Staff treated people as individuals and supported their dignity, privacy and independence.
“Staff were kind, caring and compassionate towards the people at the service.” from the report
Personalised support
Care plans included people's wishes, communication needs and preferences. Staff supported people to make choices and follow their own interests.
“People's needs were assessed and their care plans were completed in a manner which put them at the centre.” from the report
Effective oversight
The home used audits and checks to review safety and quality. Staff said managers were supportive and approachable.
“Quality assurance systems were effective and were used to monitor and review the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff with the right skills for each person's needs?
- 02How are medicines checked, and how is staff practice observed after medicines training?
- 03How do you support each person's individual communication method and record changes in their needs?
- 04How do people and their families contribute to care plans and decisions about support?
- 05How are audits and feedback used to identify and make improvements?
This was an unannounced inspection of the overall quality of the service, including all five CQC questions, with records reviewed for two people and two staff recruitment files. This explanation was written from the published report of 23 September 2016 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 Moore Care (Registered) Limited, Woodsmoore
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Moore Care (Registered) Limited, Woodsmoore →
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Moore Care (Registered) Limited, Woodsmoore →
- June 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- June 2012
Registered with the Care Quality Commission on 21 June 2012.
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.
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