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CQC report explained · a residential care home

What the CQC found at Moorleigh Residential Care Home

Goodpublished 9 April 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks linked to complex mental health and medical needs were assessed and managed, and medicines were stored, administered and recorded safely. One basement room did not have fire detection at the inspection.
Effective?
Good
People's needs were assessed and their care plans were reviewed when needs changed. Staff had relevant training and supervision, and people were supported with healthcare, food, drink and decisions about their care.
Caring?
Good
Staff treated people with kindness, compassion, dignity and respect. People were involved in decisions, supported to be independent and able to have privacy.
Responsive?
Good
Care was individualised and flexible, and staff knew people well. People were supported to communicate, maintain relationships, follow their interests and raise complaints.
Well-led?
Good
People, relatives and staff had confidence in the management. Audits, reviews, staff meetings and feedback were used to monitor quality and make improvements.
The latest report, explained

What inspectors found, April 2020

Moorleigh Residential Care Home was rated Good; inspectors found kind, safe and personalised care, with one fire safety shortfall identified.

This was an unannounced inspection on 9 March 2020. One inspector spent time with five people, spoke with staff and the manager, reviewed three people's care records and checked other records. The inspector also gathered views from relatives, a healthcare professional and the local authority.

The home supported up to 20 people with severe and enduring mental health conditions. Seventeen people were living there at the inspection. People said they felt safe and were happy. Inspectors found caring staff, personalised support, safe medicines management, suitable staffing and good systems for managing people's risks and choices.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good, the same as the previous inspection published on 22 August 2017. Inspectors did identify that one basement store or office room had no fire detection, and the manager said extra smoke detectors would be fitted.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw staff supporting people with sensitivity and compassion. People and relatives spoke positively about the care.

    “Staff were observed to be kind, caring and considerate towards the people they were supporting.” from the report
  • Personalised support

    Care plans described people's skills, needs and preferences. Staff provided flexible support and reviewed plans with people.

    “People continued to receive individualised care and support in a way that was flexible and responsive to their needs from staff who knew them well.” from the report
  • Safe medicines

    Medicines were stored at the correct temperatures, records were checked and staff were trained and assessed as competent.

    “Medicines were managed safely and stored securely at the correct temperatures.” from the report
  • Good management and oversight

    The home used audits, spot checks, meetings and feedback to monitor care and identify improvements.

    “Quality assurance and governance systems were in place to assess, monitor, and improve the quality and safety of the services provided” from the report
What inspectors were concerned about
  • Fire detection in one basement room

    serious

    One basement store or office room did not have fire detection during the inspection. The manager later confirmed that additional smoke detectors were to be fitted.

    “However, we noted that one of the basement store/office rooms did not have any form of fire detection.” from the report
Questions to ask them, based on this report
  1. 01Have the additional smoke detectors been fitted in the basement store or office room?
  2. 02How will you support my relative when their mental health affects their communication or behaviour?
  3. 03How will my relative be involved in reviewing and changing their care plan?
  4. 04What activities and support are available for my relative's interests and relationships?
  5. 05How are medicines that are only needed occasionally managed and recorded?

This was an unannounced planned inspection covering all five key questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 9 April 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.

An earlier report, explained

What inspectors found, August 2017

Moorleigh Residential Care Home was rated Good; inspectors found safe, kind and personalised care with strong management.

This was an unannounced, comprehensive inspection on 19 July 2017. Inspectors met all but one person living there, observed daily life and staff interactions, spoke with three staff, and checked care plans, staff records, medicines records and quality checks.

The home supported 20 adults with mental health needs. Inspectors found people were safe, medicines were managed properly, staffing was sufficient and risks were assessed while supporting independence. Staff were trained, knew people well and worked with health professionals when needed.

People described the care as kind and respectful. They had choices about daily life, food, activities and going out. Care was personalised, complaints were investigated, and the management team used audits and people's views to monitor the service.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. It remained Good overall, the same as at the previous inspection.

What inspectors praised
  • Safe medicines and risk support

    Medicines records were complete and checked after each shift. Risk assessments helped people remain independent while managing risks such as falls, self-neglect and going out.

    “Administration records were completed showing no gaps and clear signatures.” from the report
  • Skilled and knowledgeable staff

    Staff received relevant training and knew the people they supported well. New staff had an induction and shadowed experienced colleagues.

    “Staff were competent in their roles and had a good knowledge of the individuals they supported which meant they could effectively meet their needs.” from the report
  • Kind and respectful care

    Inspectors saw staff spending time with people, offering reassurance and respecting privacy, dignity and quiet time.

    “People told us staff were always kind, caring and respectful.” from the report
  • Personalised daily life

    People were supported to make everyday choices, follow their preferred routines and take part in activities inside and outside the home.

    “Care plans were personalised and included information about how people chose and preferred to be supported.” from the report
  • Open management

    People, relatives and staff could approach the management team. The home used audits and feedback to identify improvements.

    “There were effective quality assurance systems in place.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative to go out independently, and what would happen if their risks changed?
  2. 02How do you make sure medicines given as required are offered appropriately and recorded correctly?
  3. 03How would you support my relative's particular mental health needs and involve their family in care reviews?
  4. 04What activities and community opportunities would be available for my relative's individual interests?
  5. 05How would you manage room sharing, and how do you make sure both people are comfortable with it?

This was an unannounced comprehensive inspection covering all five quality areas, with checks of daily care, records, medicines, staff files, training and quality monitoring. This explanation was written from the published report of 22 August 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.

The story over the years

Every inspection of Moorleigh Residential Care Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. April 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Moorleigh Residential Care Home →

  2. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Moorleigh Residential Care Home →

  3. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 14 January 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.

Next steps

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