CQC report explained · a residential care home
What the CQC found at Moorlands Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection control arrangements, including PPE, testing, visits and outbreak management. They were only somewhat assured about premises hygiene because cleaning records were incomplete and handwashing facilities in the laundry room were not easily accessible.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found strong COVID-19 controls but incomplete cleaning records and an inaccessible handwashing facility.
This was a targeted inspection on 8 February 2022. It looked at infection prevention and control in the home, and asked about staffing pressures linked to COVID-19. It did not inspect the domiciliary care service registered at the same address.
Inspectors found good practice in visitor testing, personal protective equipment, isolation arrangements, infection control policies, audits and staff training. The home had supplies of protective equipment and used a communication book to share changes in COVID-19 guidance.
Inspectors were only somewhat assured about the premises' layout and hygiene. Weekly cleaning hours had reduced because of staff sickness, cleaning records were not always complete and handwashing facilities in the laundry room were not easily accessible. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
Visitors had to provide a negative lateral flow test and wear protective equipment. Visits were facilitated in line with national guidance.
“Visitors to the service were required to have a negative lateral flow test and were required to wear PPE.” from the report
COVID-19 planning
The home had current infection control policies, risk assessments and action plans following audits. It understood isolation, cohorting and zoning arrangements.
“The provider had up to date infection control policies and COVID-19 policies.” from the report
Staff training and communication
Staff had infection control training, and a COVID-19 champion received additional training. A communication book helped staff keep up with changing guidance.
“The service used a communication book to ensure staff were kept up to date with changes in COVID-19 guidance.” from the report
Cleaning records
needs fixingCleaning hours had reduced because of staff sickness, and records were not always complete. This meant inspectors were only somewhat assured about hygiene arrangements.
“Weekly cleaning hours had reduced due to staff sickness, and cleaning records were not always fully completed.” from the report
Laundry-room handwashing
needs fixingHandwashing facilities in the laundry room were not easy to reach. Ask what has changed since the inspection.
“Handwashing facilities in the laundry room were not easily accessible.” from the report
Test disposal
minorInspectors signposted the home to improve how COVID-19 tests were disposed of.
“We have also signposted the provider to develop their approach to ensure that COVID-19 tests are disposed of appropriately.” from the report
- 01Have cleaning hours returned to their previous level since staff sickness reduced them?
- 02How are cleaning records now checked to make sure they are complete?
- 03What changes have been made to make handwashing facilities in the laundry room easily accessible?
- 04What is the current process for disposing of COVID-19 tests?
- 05How are staffing pressures affecting cleaning and care in the home?
This was a targeted inspection of infection prevention and control, with questions about COVID-19 staffing pressures; the domiciliary care service was not inspected and the home was not rated. This explanation was written from the published report of 11 March 2022 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, October 2018
Rated Good overall, with Outstanding responsive care and inspectors finding kind, safe and well-organised support.
This was an unannounced inspection on 24 and 26 September 2018. The inspector visited the home and the domiciliary care office, spoke with people, a visitor, staff and managers, and checked care records, medicines, recruitment records and service records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Responsive was rated Outstanding. Inspectors found enough staff, safe medicine systems, suitable training, respectful care and strong management oversight.
Inspectors were particularly impressed by personalised care, activities, community links and end of life support. They also noted that some personal emergency evacuation plans might not be easy for staff to find in an emergency, and that some areas of the home needed updating.
Personalised care
Care plans included people's histories, interests, preferences and wishes. Reviews involved people and their relatives.
“Care plans clearly illustrated people's needs and wishes and were extremely detailed.” from the report
End of life support
Inspectors found a very high standard of end of life care, with people's wishes recorded and support offered to families.
“We found the service provided an extremely high standard of end of life care.” from the report
Activities and community life
People were supported to take part in varied activities in the home and local community, and to keep in touch with family.
“The provider ensured people were supported to attend a broad range of activities and entertainment within the setting and in the community to maintain an active and rewarding life.” from the report
Safe staffing and medicines
There were enough staff to meet people's needs. Recruitment checks, staff training and medicine records were in place.
“Medicine administration records (MAR) were completed correctly.” from the report
Open management
Managers were accessible and staff felt supported. Feedback and quality checks were used to identify and complete improvements.
“The provider had an effective quality assurance process in place and maintained a development plan to drive improvements.” from the report
Emergency information access
needs fixingInspectors said personal emergency evacuation plans were kept in people's care files and might not be easy for staff to find during an emergency. Managers said copies would also be kept in the fire file.
“We felt these would not be easily accessible to staff in an emergency” from the report
Some areas needed updating
minorInspectors noted that parts of the home needed updating. A refurbishment and redecoration programme was under way.
“There were some areas of the home which required some updating.” from the report
- 01Where are personal emergency evacuation plans kept now, and how do staff find them quickly?
- 02What refurbishment and redecoration has been completed since the inspection, and what remains to be done?
- 03How are monthly care plan reviews carried out, and how can relatives take part?
- 04What activities and community opportunities are currently available for residents?
- 05How are people's end of life wishes recorded and shared with the staff team and family?
This inspection covered all five rating areas, the residential home and the domiciliary care office; it included 17 people living in the home and 63 people receiving community care. This explanation was written from the published report of 25 October 2018 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 Moorlands Residential Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Moorlands Residential Care Home →
- October 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Moorlands Residential Care Home →
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- October 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 23 February 2011.
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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