Moore Care (Registered) Limited, 4 Manchester Road

Updated 24 November 2023

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.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Moore Care (Registered) Limited 4 Manchester Road 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. Moore Care (Registered) Limited 4 Manchester Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

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

The inspection was unannounced.

What we did before the inspection

We reviewed information held since our last inspection. 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 sought feedback from the local 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 all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 3 relatives of people who used the service. We spoke with 7 members of staff including the registered manager, care manager, safeguarding lead and care staff. We carried out observations of communal areas to help us understand the experience of people who could not talk with us. We reviewed a range of records including 5 people's care records, medicine administration records and some records relating to the management of the service.

Updated 24 November 2023

About the service

Moore Care (Registered) Limited 4 Manchester Road is a residential care home providing personal care to up to 12 people. The service provides support to people with a learning disability and autistic people, those with a physical disability, older people, people with a mental health diagnosis and people with dementia. At the time of our inspection there were 12 people using the service. People are cared for within 4 different areas of the home, the ground, the middle, the flat and the cottage. The service is located near to the local town centre.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

The service was undergoing a refurbishment, however at the time of inspection it did not always give people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. Medicines were not always managed safely.

The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support to travel wherever they needed to go. The service had good links with the local community.

Right Care

People’s care, treatment and support plans did not always reflect their range of needs, in order to promote their health and well-being outcomes. Risks were not always suitably assessed. Some people’s care and support had been assessed using positive behavioural support (PBS), whilst others hadn’t. This meant we could not be assured staff were following a consistent and evidence-based approach to supporting people with a learning disability.

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. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

Right Culture

Governance processes were not always effective in making improvements to the quality of care and support people received.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the staff. Staff knew people and their aspirations and supported them to live a quality life of their choosing. People and those important to them, including advocates, were involved in planning their care. The service enabled people and those important to them share their views and work with staff to develop the service.

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.

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

Rating at last inspection

The last rating for this service was Good (published 12 December 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, and good governance. We have made a recommendation in relation to consistent use of an evidence-based model of care for people with learning disabilities.

Please see the action we have told the provider to take at the end of this report.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.