CQC report explained · a residential care home
What the CQC found at The Moorings
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable staffing, safe recruitment checks, relevant risk assessments and good safeguarding arrangements. Medicines were administered safely and audits were used to address errors.
- Effective?
- Good
- Staff were trained and considered knowledgeable and competent. Care records were regularly updated, people's nutritional needs were assessed, and consent and capacity records were in place.
- Caring?
- Good
- Staff were observed to be kind, respectful and patient. People were involved in their care and supported to maintain their privacy, dignity, independence and personal choices.
- Responsive?
- Good
- Care plans covered people's physical, mental, social and personal needs. Inspectors found a good range of activities, quiet areas and recorded end of life preferences.
- Well-led?
- Good
- Inspectors found clear responsibilities, regular quality checks and positive feedback about the management team. People, relatives and staff were asked for their views through meetings and surveys.
What inspectors found, February 2019
Rated Good; inspectors found safe, kind and person-centred care, with good management and no reported breaches.
This was a planned, comprehensive and unannounced inspection on 22 January 2019. Inspectors spoke with people living at the home, relatives, managers and staff. They also checked care records, medicines, staffing, recruitment, the building and safety records.
The inspectors found all five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. They found suitable staffing, safe medicines systems, relevant risk assessments and well-trained staff.
People and relatives spoke positively about the care, meals, activities and management. Care plans were personalised and included people's choices, needs and consent. The home had been rated Good at the previous inspection in November 2016 and remained Good.
Kind and respectful care
People said staff were caring and compassionate. Inspectors observed staff treating people with kindness, patience, dignity and respect.
“Staff were kind, respectful and patient with people and this was observed throughout the day by the inspection team.” from the report
Safe medicines management
Staff received training and competency checks before giving medicines. The manager used regular audits and acted when discrepancies were found.
“We looked at medication records and found people's medicines to be managed safely.” from the report
Good leadership and oversight
The home had clear responsibilities and regular checks on areas such as medicines, care records, the environment and infection control.
“Evidence demonstrated the registered manager had quality assurance processes that were effective as intended and monitored on a regular basis.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and update my relative's care plan as their needs or preferences change?
- 02What staffing levels are normally in place, and how do you cover sickness or unexpected absence?
- 03How will you manage and review my relative's medicines, including any self-medication or pain relief needs?
- 04What activities would suit my relative's interests, and how could they take part if they prefer quieter activities?
- 05How would we raise a concern or complaint, and how would you keep us informed of the outcome?
This was a comprehensive, unannounced inspection covering all five CQC questions, and the home remained rated Good in each area. This explanation was written from the published report of 15 February 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.
What inspectors found, November 2016
The Moorings was rated Good; inspectors found safe, kind and personalised care, with some occasional waiting for staff support.
This was the home's first inspection. It took place on 4 and 5 October 2016, with the first day unannounced. Inspectors spoke with people living there, relatives, staff, managers and a health professional. They also looked at the building, care records, medicines, staff records and quality checks.
All five areas were rated Good. Inspectors found that people felt safe, medicines were managed safely and there were enough staff to meet people's needs. Staff were trained, carried out recruitment checks and understood safeguarding and people's rights.
People described staff as kind, respectful and attentive. Inspectors saw that people were involved in care planning, supported to see health professionals and offered food, drinks and activities suited to their choices. People and relatives were asked for feedback, and changes were made in response.
The report says there was a management change taking place. A new manager was in post and receiving support during the transition. The provider was also developing its quality assurance systems.
Safe medicines
Inspectors checked medicine stocks, records and administration. They found medicines were given safely and people were asked for consent.
“We found medicines were managed safely and people received their medicines as prescribed.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors observed patient, respectful care that supported people's dignity and independence.
“Staff were patient when interacting with people who lived at the home and people's wishes were respected.” from the report
Meaningful activities
People could choose from planned activities, outings and individual tasks. Inspectors saw people enjoying activities and found that feedback had led to changes.
“People were encouraged and enabled to take part in meaningful activities which enriched their lives.” from the report
Occasional waits for support
minorOne relative felt more staff were sometimes needed and said there had occasionally been a wait for support. Inspectors still found enough staff overall and recorded quick responses to four call bells.
“A further relative told us they considered more staff were sometimes required. They told us staff responded to their family member's needs but they had on occasion, had to wait for support.” from the report
- 01How have staffing levels and recruitment changed since inspectors noted that one relative had sometimes waited for support?
- 02Who is now managing the home, and has the new manager completed registration with the CQC?
- 03How are residents and relatives currently involved in reviewing care plans and making changes?
- 04Which activities are available now, and how do you check that they match each person's interests?
- 05What changes were made to the care pathway for people needing support with skin health?
This was the home's first comprehensive inspection and covered all five CQC questions, including the building, care records, medicines, staffing, training and management systems. This explanation was written from the published report of 9 November 2016 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 The Moorings
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Registered with the Care Quality Commission on 20 December 2013.
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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85 live-in carers within about an hour of Lancashire
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 £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.