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CQC report explained · a nursing home

What the CQC found at Moors Manor Care Home

Goodpublished 14 June 2022, 4 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. Medicines, risks, recruitment and infection control were generally managed safely, but written instructions for one person’s covert medicines were not initially in place.
Effective?
Good
People received support with healthcare, food, drink and their individual needs. Some healthcare professionals said communication could be improved, and the home planned clearer instructions for relief staff about dietary needs.
Caring?
Good
People were treated with kindness, dignity and respect. Inspectors saw relaxed, compassionate interactions and found that people and relatives were involved in care decisions.
Responsive?
Good
Care plans were personalised and regularly reviewed. People could follow their own routines, keep in touch with family and take part in activities suited to their interests.
Well-led?
Good
The home had visible leadership and systems to monitor quality and learn from incidents. However, actions from meetings with people, relatives and staff had not been recorded, so improvements could not always be evidenced.
The latest report, explained

What inspectors found, June 2022

Moors Manor Care Home was rated Good; inspectors found kind, person-centred care, with some improvements needed in medicines records and staffing.

This was the home’s first inspection. It was unannounced and took place on 23 May 2022. Inspectors spoke with people living there, relatives, staff and healthcare professionals. They also looked at care records, medicines, staffing, the building and how the home was managed.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. People and relatives generally said they felt safe and were happy with the care. Inspectors saw respectful and caring interactions, personalised care plans, suitable food and support for people’s choices and independence.

There were some areas to improve. Written instructions for one person’s covert medicines were missing, although the home acted immediately when this was raised. Some people, relatives and staff felt staffing levels were sometimes tight. Communication with healthcare professionals and recording actions from meetings also needed to be clearer.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors saw patient, relaxed and compassionate interactions.

    “Throughout the inspection we saw kind, relaxed, compassionate and caring interactions between people and staff.” from the report
  • Personalised support

    Care plans included people’s histories, interests, wishes and important relationships. Relatives were involved in planning care.

    “People had care plans that were personalised to their individual needs and wishes.” from the report
  • Choice and independence

    People were supported to make choices about daily life and to remain as independent as possible.

    “People were supported to maintain their independence and have maximum choice and control in their lives.” from the report
  • Positive experience

    People and relatives generally said they were happy with the home and felt well cared for.

    “It is a wonderful place, [person] is so well cared for, staff are patient and kind.” from the report
What inspectors were concerned about
  • Medicines instructions

    needs fixing

    Written instructions were missing for one person’s covert medicines. The home contacted the pharmacist and addressed this during the inspection.

    “One person had their medicines administered covertly; this had been agreed by a medical professional but written instructions on how to give the medicines were not in place.” from the report
  • Staffing pressure

    needs fixing

    People’s needs were met, but some people, relatives and staff said there were not always enough staff. Agency staff were used when needed.

    “There are days when they are short but when they are, they work harder to compensate so residents don't suffer.” from the report
  • Communication with health professionals

    minor

    Some healthcare professionals said communication could be better. The home said it had already identified this and introduced a communication book.

    “However, we received feedback from some healthcare professionals that communication could be improved.” from the report
  • Recording feedback actions

    minor

    The home held meetings with people, relatives and staff, but did not record the actions agreed. This meant it could not show what improvements had been made.

    “This meant the home could not evidence how improvements had been made.” from the report
Questions to ask them, based on this report
  1. 01What written instructions are now in place for administering covert medicines, and how are they checked?
  2. 02How many staff are normally on duty on each shift, and how often is agency staff used?
  3. 03How do you monitor and improve communication with GPs, district nurses and other healthcare professionals?
  4. 04How will actions from meetings with residents, relatives and staff be recorded and followed up?
  5. 05What changes have been made to make the home easier to navigate and to clarify dietary instructions for relief staff?

This was the first inspection and covered all five key questions, including the care provided, the premises and infection prevention and control. This explanation was written from the published report of 14 June 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.

The story over the years

Every inspection of Moors Manor Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Moors Manor Care Home →

  2. February 2021

    Registered with the Care Quality Commission on 5 February 2021.

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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