Tyne House

Updated 8 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Moor View is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Moor View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave a short period of notice for this inspection because some people needed to be prepared for our visit. We also wanted to gain consent from relatives to call them prior to our visit to gain feedback.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used feedback from the local authority safeguarding and commissioning teams. We contacted the local fire authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We met and observed 10 people and spoke with 3. We spoke with 6 relatives about their experiences of the care and support provided.

We received feedback from 15 staff. This included, the registered manager, regional head of operations, quality assurance manager, deputy manager, senior support staff and support staff.

We contacted 9 social workers or care managers, 2 occupational therapists, a community nurse with the positive behaviour support team, a nurse practitioner, and a GP practice to gain feedback. We received 7 responses.

We reviewed a range of records. This included 3 people's care records and multiple medicine records and monitoring charts. We looked at 3 staff files in relation to recruitment, training and support. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

After the inspection we continued to seek clarification to validate evidence found. We looked at training data and quality assurance records.

Updated 8 December 2022

About the service

Moor View is a residential care home providing personal care to up to 13 people. The service provides support to people with learning or physical disabilities or autistic spectrum disorder. At the time of our inspection there were 12 people using the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

People were supported to make choices in their daily lives and were supported to do things they enjoyed. People were engaged in varied activities of their interest, including activities to enhance their skills and learning.

People were supported to maintain family links and helped to grow friendships. People were encouraged to be part of the community. Staff had a good understanding of people’s individual needs and encouraged them to reach their goals.

There were enough staff to support people in a person-centred way. Each person had a key worker dedicated to their care and support. The national shortage in suitable applicants to fill vacant posts had impacted on the services ability to fill shifts. However, agency staff had been used to do this in the interim as they continued to recruit.

Risk was monitored and assessed. People received medicines safely and staff ensured this continued when away from the home. The provider updated records during inspection to further enhance procedures. The provider followed infection control guidance, including when visitors attended the home. A small number of staff needed to be reminded about mask wearing procedures.

Right care:

Personalised support plans were in place to help staff support people’s needs in the way they chose. Personal care was provided in a thoughtful and dignified manner. After feedback some records were enhanced.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right culture:

The service operated with openness. When something went wrong, they worked with other professionals and families to put things right. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

The needs and safety of people form the basis of the culture at the service. Staff understand their role in making sure that people are always put first. Staff talked positively about the role they undertook and consistently strived to deliver person centred care. People were empowered to live their best lives possible and were valued as individuals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 2 July 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20 April 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve quality assurance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-Led which contain those requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For the key question of Effective, Caring and Responsive which were not inspected, we used the rating awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moor View on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.