CQC report explained · a nursing home
What the CQC found at Moreland House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. They found suitable risk assessments, enough staff, safe recruitment, safe medicines management and infection control arrangements.
- Effective?
- Good
- This key question was not inspected during this visit. The report says ratings for questions not inspected were taken from the previous inspection when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. The report says ratings for questions not inspected were taken from the previous inspection when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. The report says ratings for questions not inspected were taken from the previous inspection when calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear management arrangements, regular audits, feedback systems and links with health and social care professionals. People, relatives and staff spoke positively about the management team.
What inspectors found, September 2022
Moreland House Care Home was rated Good; inspectors found safe care, suitable staffing and effective management systems.
This was an unannounced inspection on 16 June 2022. One inspector spoke with people, relatives, staff and managers, and checked care plans, recruitment files, medicines records, training records and quality checks.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse, risks were assessed, staffing levels were sufficient, medicines were managed safely and infection control arrangements were in place.
The management team was found to be approachable and to use audits, feedback and partnership working to improve care. The overall rating remained Good, as it was at the previous inspection published on 3 April 2020.
Safeguarding and risk checks
Staff understood how to recognise and report abuse. Individual risk assessments were in place and updated when people's needs changed.
“Risk assessments were in place which included information about how to manage and reduce risks to ensure people's safety.” from the report
Enough staff
People and relatives said staffing was sufficient. Inspectors checked the rota for four weeks and found enough staff to meet people's care needs.
“We looked at the staffing rota for the past four weeks and found sufficient numbers of staff available to support people with their care needs.” from the report
Medicines managed safely
Medicine records had no missing signatures. Staff were trained, and there were instructions for medicines prescribed only when needed.
“Medicine administration record (MAR) sheets were completed correctly and there were no missing signatures.” from the report
Quality monitoring
The management team carried out regular audits and used feedback from people, relatives and staff to improve the service.
“The management team undertook regular audits to monitor the quality of the service they provided.” from the report
Working with health professionals
The home contacted external professionals when people needed healthcare advice or treatment, and recorded that advice in care records.
“The manager worked closely with other professionals to ensure people were supported with their healthcare needs.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current position on the manager's application to become registered?
- 02What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
- 03How do you make sure risk assessments are updated promptly when a person's needs change?
- 04How do you use feedback from residents and relatives to make changes to the service?
- 05How do you monitor staffing levels when people's care needs increase or staff are absent?
This was an unannounced focused inspection of Safe and Well-led; the other key questions were not inspected during this visit and previous ratings were used in calculating the overall rating. This explanation was written from the published report of 23 September 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 2021
Moreland House Care Home was inspected but not rated; inspectors were assured about infection control, with some guidance given to the provider.
This was an announced, targeted inspection on 15 March 2021. Inspectors looked at infection prevention and control after receiving concerns. The home had 28 people living there and could support up to 50.
Inspectors were assured that the home was managing visits, admissions, testing, PPE, cleaning, social distancing and outbreaks. They found the home clean and hygienic. Staff and residents were tested in line with national guidance at the time.
The home had introduced visits in people's rooms, a socially distanced visiting pod and video calls. Visitors had temperature checks, testing, PPE and instructions about visiting rules.
The service was inspected but not rated. This means the report does not give a Good, Requires Improvement or Inadequate rating. Inspectors signposted the provider to resources and guidance about agency staff and infection control.
Infection control
Inspectors were assured that the home was preventing infections and had up-to-date infection control arrangements.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visits and contact
The home had several ways for people to keep in contact with relatives, including room visits, a visiting pod and video calls.
“People at the service were also supported to use video calls to people outside the service.” from the report
Testing and protective equipment
Visitors, staff and residents were supported with testing and PPE arrangements. Staff had training on using PPE and there was an ample supply.
“All staff wore appropriate PPE and had been trained how to put it on and take it off correctly.” from the report
Clean environment
Inspectors found the home clean and hygienic, with enhanced cleaning after admissions and visits.
“We found the service in a clean and hygienic state during inspection.” from the report
Agency staff information
minorThe provider was given guidance about giving agency staff information before they started work, so they understood the home's practices.
“We have signposted the provider around providing information to agency staff before coming to work at the service; so as to ensure they have a better understanding of work practices before working at the service.” from the report
Further infection control development
minorInspectors signposted the provider to resources to develop its infection control approach. The report does not describe this as a breach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01How are agency staff given information about the home's work practices before they start?
- 02What infection control changes have been made since the inspection?
- 03What are the current arrangements for visits, testing and PPE?
- 04How are new admissions tested and kept separate from other residents when needed?
- 05How are infection control audits carried out and acted on?
This was a targeted inspection of infection prevention and control after concerns were received; the service was inspected but not rated and the other key questions were not reported on. This explanation was written from the published report of 24 March 2021 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 Moreland House Care Home
7 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- September 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- January 2021Inspected but not ratedSafe: Inspected but not rated
- November 2020Goodup from Requires improvementSafe: Inspected but not ratedWell-led: Good
- April 2020Requires improvementstayed Requires improvementSafe: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 December 2010.
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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