Moorville Residential

At the last inspection on 24 November 2015, the service was rated Good. At this inspection we found the service remained good.

The deputy manager and nominated individual had a good oversight of the service and were experienced in their roles. The registered manager was on annual leave at the time of this inspection. We saw established systems and processes were in place to ensure the service ran smoothly in their absence. People, their relatives and staff told us the registered manager, deputy manager and nominated individual were supportive and approachable.

Staff understood what it meant to protect people from abuse. They told us they were confident any concerns they raised would be taken seriously by management.

The care records we looked at included risk assessments, which identified any risks, associated with people’s care and had been devised to help minimise and monitor the risks while promoting the person’s independence as far as possible.

There were enough staff available to ensure people’s needs were met. We saw there were robust recruitment procedures in place to make sure staff had the required skills and were of suitable character and background.

Medicines were stored safely and securely, and procedures were in place to ensure people received their medicines as prescribed.

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

Staff were supported through training, regular supervisions and team meetings to help them carry out their roles effectively.

People were supported to eat and drink to maintain a balanced diet. Specific dietary needs were catered for.

People were supported to access a wide range of health and social care professionals to help maintain their health and wellbeing.

Positive and supportive relationships had been developed between people, their relatives, and staff. People told us they were treated with dignity and respect.

Staff spoke passionately about the people they supported. They knew people’s preferences and were keen to support people to be as independent as possible.

People received personalised care. People’s care records were person-centred, up to date and regularly reviewed. They reflected the person’s current health and social care needs.

People told us they were supported to access a wide range of activities, events and appointments.

There was an up to date complaints policy and procedure. Feedback on the service was encouraged through meetings and annual questionnaires.

There were effective systems in place to monitor and improve the quality of the service provided.

The service had up to date policies and procedures which reflected current legislation and good practice guidance.

Safety and maintenance checks for the premises and equipment were in place and up to date.

Further information is in the detailed findings below.

Most people using the service that we spoke with gave us positive feedback about the home. Some comments included 'I like it here' and 'The staff are kind and the other residents are nice." All of the relatives of people using the service were happy with the home.

Most of the people using the service and their relatives told us that told us they were happy with the care that was provided in the home. One relative told us 'I'm happy with the care he gets. The manager is always open to me saying things and will take this on board.'

We found that people who used the service were protected from the risk of abuse. One relative commented 'He is safe here. It's a safe environment.'

We found that appropriate checks were undertaken before staff began work and there were effective recruitment and selection processes in place.

We found there was an effective system to regularly assess and monitor the quality of service that people receive through audits, collecting feedback and looking into complaints and incidents.

We found that people who used the service were involved in their care and treatment. We found that people's privacy, dignity and independence were respected. Comments from relatives included 'We are very happy with the placement.' and 'Very very positive all round.'

We found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Relatives told us they had been kept informed about the care of the people using the service.

We found that people who used the service were protected from the risk of abuse. Relatives told us that the home was a safe environment.

We found that staff received appropriate professional development. Comments about staff from a person using the service from a satisfaction survey from November 2012 included 'Staff are respectful and polite to me' and 'they do enough for me already.'

We found that there was an effective complaints system in place. One relative said 'We would know how to raise any concerns if we had them. A response from a person using the service in a satisfaction survey from November 2012 confirmed that they knew how to report if they had a complaint.