CQC report explained · a nursing home
What the CQC found at Moreton Hill Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2022
Inspected but not rated; inspectors found kind, responsive end-of-life care, while medicines disposal procedures were still being reviewed.
This was an unannounced targeted inspection on 18 October 2022. Inspectors looked specifically at end-of-life care and medicines, following concerns raised with the CQC. They spoke with staff and relatives and reviewed medicines records, care plans and relevant policies.
Inspectors found that people received personalised end-of-life care. Medicines were available and given promptly when needed. Staff had suitable training, understood people's changing needs and knew how to respond when people were uncomfortable.
Relatives and a GP gave positive feedback about the care, dignity and support provided. The home acted on concerns and shared lessons learned. However, the procedure for disposing of end-of-life medicines was still being reviewed.
The service was inspected but not rated. This targeted inspection did not assess the whole service or change the previous overall rating of Good, published in February 2018.
Prompt medicines
People at the end of life had the medicines they needed and received them promptly and as prescribed.
“People requiring end of life medicines had these available and received their medicines promptly when needed and as prescribed.” from the report
Personalised care
Care plans recorded people's wishes, treatment and resuscitation decisions, and communication needs. Plans were reviewed with people and relatives.
“People had care plans in place to inform staff how they wanted to be cared for at the end of their life.” from the report
Trained staff
Staff had end-of-life training. Nurses who gave end-of-life medicines had annual training and competency checks.
“All staff had received end of life training and appropriate staff had received more specific training to manage medicines and syringe drivers.” from the report
Positive feedback
Relatives and the GP described the care as kind, dignified and respectful. They said people were supported and not in pain.
“They told us that the service supported people at the end of their life with dignity and respect.” from the report
Learning from concerns
The management team recorded action plans and shared lessons learned after concerns or complaints.
“Action plans were clearly documented, and lessons learnt shared showed that feedback was used to improve the service.” from the report
Medicines disposal procedure
needs fixingThe home was reviewing its procedure for disposing of prescribed end-of-life medicines so that it was clearly defined and safely managed.
“They were reviewing these to ensure the procedure for disposal of people's prescribed medicines used at the end of life was clearly defined and safely managed.” from the report
- 01Has the procedure for disposing of prescribed end-of-life medicines now been completed and put into practice?
- 02How will you make sure end-of-life care plans stay current when a person's condition or wishes change?
- 03How quickly can nurses provide medicines prescribed for pain or other symptoms when they are needed?
- 04What is the current position on the manager's application to register with the CQC?
- 05How do you share lessons learned after concerns or complaints about end-of-life care and medicines?
This was an unannounced targeted inspection of end-of-life care and medicines only; it did not assess the whole service and did not change the previous overall Good rating. This explanation was written from the published report of 25 November 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, November 2020
Moreton Hill Care Centre was inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
Inspectors visited on 4 November 2020. This was an announced, targeted inspection about infection prevention and control during the coronavirus pandemic. It was not a full inspection of all areas of care.
Inspectors were assured that the home was using personal protective equipment safely, carrying out testing, managing admissions and visitors, and following shielding and social distancing rules. They also found updated infection control policies, audits and cleaning schedules.
The home had no agency staff, and staff worked only at the home. Inspectors also found regular GP support, activities for people, remote contact with relatives and arrangements for socially distanced and end-of-life visits.
The service was inspected but not rated. This means this visit did not give an overall quality rating or ratings for all five areas of care.
Infection control systems
The home had infection control audits, cleaning schedules and an up-to-date policy. Inspectors were assured that infection outbreaks could be prevented or managed.
“There were comprehensive infection control audits and cleaning schedules in place to ensure the home remained clean and free from infection.” from the report
PPE and testing
Staff had access to suitable PPE, including arrangements for people with symptoms who needed to self-isolate. Testing was carried out and positive results led to appropriate action.
“The provider and registered manager ensured Covid-19 testing was carried out in accordance with best practice guidance.” from the report
Stable staffing
Staff worked only at the home and no agency staff were used. Inspectors recorded positive views about the stability of the staff team.
“All of the staff solely worked at Moreton Hill Care Centre. The service did not use agency staff.” from the report
Healthcare support
The manager worked with healthcare professionals and people received weekly GP support through visits and virtual consultations.
“They had weekly support from people's GP, including visits to the home and virtual consultations.” from the report
Contact and activities
People had tailored activities, including help to keep in touch with loved ones remotely. The home also had arrangements for socially distanced and end-of-life visits.
“People were supported with a tailored activities programme, which included support to interact with their loved ones remotely.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how are they checked?
- 02How often are people and staff tested when there is a suspected or confirmed infection?
- 03How are visits arranged now, including visits for people receiving end-of-life care?
- 04How has the home maintained stable staffing, and does it still avoid using agency staff?
- 05How are activities and contact with relatives supported for people who cannot have ordinary visits?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 21 November 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 Moreton Hill Care Centre
2 rated inspections over 2 years: the service has held its Good rating throughout.
- November 2022Inspected but not ratedcurrent ratingResponsive: Inspected but not rated
- November 2020Inspected but not ratedSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 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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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
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