CQC report explained · a nursing home
What the CQC found at Moultrie Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about visitor checks, social distancing, safe admissions, outbreak management and visiting arrangements. They were only somewhat assured about PPE use, testing and the cleanliness of some areas.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2022
Moultrie Road was inspected but not rated; inspectors found good infection control in some areas but concerns about PPE use, testing and cleaning.
This was a targeted, announced inspection on 21 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.
Inspectors were assured that visitors were checked, visiting was supported, people were admitted safely and infection outbreaks could be prevented or managed. The home had up-to-date policies and detailed records of vaccination and test results.
Inspectors found some shortfalls. Staff did not always clean their hands after removing gloves, suitable clinical waste bins were missing in two areas, testing was below the national guidance and some areas needed more thorough cleaning.
The home was not given an overall or Safe rating in this inspection. This report does not provide a new Good or Outstanding rating.
Visitor infection checks
The home was checking visitors on arrival and inspectors were assured that it was preventing visitors from catching and spreading infections.
“We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
Organised COVID-19 records
The home kept detailed, up-to-date records of vaccination status and COVID-19 test results, supported by current policies and procedures.
“The registered manager had a methodical and organised approach to recording individuals COVID-19 vaccination status and COVID-19 test results.” from the report
Visiting arrangements
Inspectors were assured that visits were being supported in line with the guidance in place at the time.
“We were assured the provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
PPE and hand hygiene
needs fixingStaff did not always use hand gel or soap and water after removing gloves. The report also says there were no clinical waste bins for used PPE in the kitchen and laundry areas.
“Staff were not always using hand gel or soap and water after removing gloves.” from the report
Staff COVID-19 testing
needs fixingStaff were completing two weekly lateral flow tests and a monthly PCR test as a minimum. Inspectors noted this was below the national guidance of three lateral flow tests each week.
“However, the national guidance was that staff should complete three LFD tests per week.” from the report
Cleaning standards
needs fixingSome areas needed more thorough cleaning. Inspectors saw visible dirt, including in the second-floor bathroom.
“Some areas of the home required more thorough cleaning as there was visible dirt, such as the second floor bathroom.” from the report
- 01What has changed since the inspection to make sure staff clean their hands after removing gloves?
- 02Are clinical waste bins for used PPE now available in the kitchen and laundry areas?
- 03Are staff now completing three LFD tests each week, as stated in the national guidance?
- 04What action was taken to improve cleaning, particularly in the second-floor bathroom?
- 05How do you currently check that infection prevention and control procedures are being followed?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide new ratings for the other areas of care. This explanation was written from the published report of 10 February 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, April 2019
Moultrie Road was rated Good; inspectors found kind, personalised care, with a nursing cover issue to check.
This was a planned, unannounced comprehensive inspection. The inspector visited on 21 February and 1 March 2019. They reviewed care records, medicines records, policies, audits and feedback, and spoke with people, staff and professionals.
The home provided personal and nursing care for up to seven people, with five people living there at the inspection. Four people also received personal care in their own homes through supported living. The home was clean and comfortable, and people said they felt safe and were treated kindly.
The inspectors rated the service Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found risks were assessed, medicines were managed safely, care was personalised, people's choices were respected, and the provider used audits and feedback to improve care.
There was no nurse on shift at the home on the first inspection day, and no nursing cover had been arranged for the nurse's absence. The provider said telephone advice was available from another home and was working with commissioners to monitor nursing support. A newly appointed manager had also started, but was not yet registered with the CQC.
Personalised care
Care records were detailed, regularly reviewed and focused on people's personal goals. Staff supported people to build independence and move towards living more independently when ready.
“Care plans were outcome focussed, this meant people's long-term goals and wishes were discussed, and staff supported people to achieve them.” from the report
Kind and respectful staff
People said staff were kind and respectful. Inspectors saw that staff supported people's choices, privacy, relationships and individual cultural or spiritual needs.
“People were treated kindly and compassionately by staff.” from the report
Safe medicines practice
Inspectors found that medicines were recorded and given correctly. Staff had medicines training and their competence was checked.
“We checked people's medicines and some medication administration records (MAR) and found staff recorded and logged people's medicines correctly and in line with the provider's policies and best practice guidance.” from the report
People's involvement
People helped decide how their care was delivered, what they ate and which activities they joined. Information was available in easy-read, picture and other formats where needed.
“People had monthly individual meetings with nursing staff at Moultrie Road to discuss their progress in achieving their personal goals, and to make decisions about how their care should continue to be delivered.” from the report
Nursing cover
needs fixingThe home was registered to provide nursing care, but no nurse was on shift on the first inspection day. No replacement nursing cover had been arranged, although telephone advice was available from another home and the provider was monitoring the arrangement.
“On the first day of our inspection visit there was no nurse on shift at Moultrie Road.” from the report
Manager registration
minorThere was no registered manager at the time of the inspection. A newly appointed manager had started and planned to apply for registration.
“The service did not have a registered manager at the time of our inspection.” from the report
Uncertainty about future plans
minorOne staff member said they wanted more information about the service's longer-term plans while the organisation was going through changes.
“It would be good to know some of the longer-term plans for the service, as the organisation is going through some changes at the moment.” from the report
- 01Who provides nursing cover when the usual nurse is away, and what happens at weekends, evenings and nights?
- 02Has the new manager now applied to become the registered manager, and what is the current management arrangement?
- 03What changes have been made to activities and events since inspectors identified this as an area for improvement?
- 04How are staffing levels checked when staff support people at the home and people using the supported living service at the same time?
- 05How does the service make sure care delivered in people's own homes is monitored and reviewed?
This was a comprehensive inspection of the care home and the regulated care provided through supported living, but inspectors did not visit people in their own homes. This explanation was written from the published report of 4 April 2019 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 Moultrie Road
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 1 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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