CQC report explained · a nursing home
What the CQC found at Moorleigh Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, October 2022
Moorleigh Nursing Home was rated Good overall; inspectors found kind, safe and well-managed care, with only minor building repairs still needed.
Inspectors visited without notice on 20 September 2022. They spoke with people living in the home, relatives and staff, observed care, toured the building and checked care, medicines, recruitment and management records.
All five areas were rated Good. Inspectors found safe staffing, improved medicines management, suitable care plans, trained staff, good food and healthcare support, respectful care, activities and effective management systems.
The home had improved since the previous inspection, when it was rated Requires Improvement and breached Regulation 17. The breach had been resolved, and the earlier recommendation about diabetes care had been acted on.
Medicines management
Inspectors found major improvements in how medicines were administered, recorded and checked. Staff administering medicines had regular competency checks.
“Significant improvements had been made in the management and records of people's medicines.” from the report
Personalised care
Care plans contained detailed information about people's needs, preferences and how they wanted support. Staff reviewed the plans and involved people in their care.
“People's needs were assessed, and clear support plans and risk assessments were in place to guide staff.” from the report
Activities and community links
The home provided varied activities, outings and one-to-one time. It also had links with a gardening project, a nursery and a local church.
“There was a range of activities on offer for people both within the home and in the wider community, which people told us they enjoyed.” from the report
Management improvements
The provider had established effective systems to monitor quality and address problems. People, relatives and staff reported better communication and management.
“The provider had ensured improvements to governance, audits and monitoring systems were embedded into practice.” from the report
Some building repairs remained
minorOne person identified repairs still needed to outside window frames and some areas of decoration. The home had a programme of redecoration and building improvements.
“One person pointed to some repairs which were still needed, such as outside window frames and some areas of the décor.” from the report
- 01How will you maintain the improved staffing levels and consistency for my relative's needs?
- 02How are my relative's medicines checked, including any medicines given only when needed?
- 03What specific repairs or decoration work remain, and when are they expected to be completed?
- 04How will my relative's care plan be reviewed and updated if their health or preferences change?
- 05Which activities and one-to-one support would be suitable if my relative is unable to join group activities?
This was an unannounced inspection covering all five CQC key questions, including infection prevention and control; the report compares the results with the previous inspection in March 2020. This explanation was written from the published report of 26 October 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, March 2020
Moorleigh Nursing Home was rated Requires Improvement, but inspectors found major progress and it is no longer in special measures.
Inspectors made an unannounced visit on 18 February 2020. They spoke with 14 people, seven relatives and six staff. They also observed care and checked care plans, medicines records, staff files and management records.
The home had improved significantly since its previous Inadequate rating. People were treated with kindness, felt safe and had their privacy respected. Risks were assessed, medicines were generally managed safely and the home had improved its approach to consent and safeguarding.
The service was still inconsistent in some areas. Staffing levels varied, some medicines records were incomplete, not all staff had regular supervision and activities were limited. The home breached Regulation 17 because its governance and record-keeping systems were not effective enough.
The overall rating was Requires Improvement. Safe, Effective, Responsive and Well-led were rated Requires Improvement, while Caring was rated Good. The home had improved enough to leave special measures, but CQC said it would continue to monitor the service.
Kind and respectful care
People and relatives described staff as kind and caring. Inspectors saw positive relationships and found that people's dignity and privacy were respected.
“Staff were kind and compassionate and had developed good, caring relationships with people.” from the report
Better risk management
Risk assessments had been improved and were kept up to date. Staff understood people's needs and followed the assessments.
“Clear risk assessments were now in place which were kept up-to-date.” from the report
Improved consent processes
The home had improved its processes for checking people's capacity and applying for the required safeguards when needed.
“The service was now acting within the legal framework of the MCA.” from the report
Learning from incidents
Incidents were recorded, investigated and reviewed for learning. The report says the manager had acted on problems found at the previous inspection.
“Incident forms were well completed and subject to analysis, which demonstrated learning from adverse events.” from the report
Improvement since the last inspection
The home had addressed a number of previous breaches and was no longer rated Inadequate or in special measures.
“At this inspection we found improvements had been made and a number of regulatory breaches had been addressed.” from the report
Governance and records
seriousThe service did not have effective enough systems to keep all areas at an acceptable standard. Records for topical medicines and staff supervision and appraisal were not consistently complete.
“This was a breach of Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report
Medicines documentation
needs fixingMost medicines records were well completed, but records for creams were variable and some guidance for medicines taken when needed was not fully in place.
“Records of topical cream administration were variable and we saw there was a lack of oversight of these records.” from the report
Limited activities
needs fixingThere was no activities staff in place during the inspection. Care staff provided some activities, but said they often did not have time to do this.
“Care staff did some basic activities with people, but staff told us they often did not have time to do these.” from the report
- 01What has been done to make daytime staffing levels consistent every day?
- 02How are records for topical creams and other medicines now checked and audited?
- 03Have all staff received regular supervision and appraisal, and how is this tracked?
- 04What diabetes policy and care-planning process is now in place?
- 05Who provides daily activities, and how do you make sure people have regular social interaction?
This was an unannounced planned inspection covering all five CQC questions, carried out because of the previous rating. This explanation was written from the published report of 18 March 2020 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 Moorleigh Nursing Home
3 rated inspections over 3 years: the service has improved, from Inadequate to Good.
- October 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2020Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2019InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- January 2019
Registered with the Care Quality Commission on 15 January 2019.
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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