Archived: Moorside

Updated 8 August 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection team included a lead inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who has used this type of care service.

Service and service type

Moorside is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

Before the inspection, we reviewed all the information we held about the service including previous inspection reports and notifications received by the Care Quality Commission. A notification tells us about important issues and events which have happened at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection we spoke with 19 people, but most were only able to provide minimal feedback about the service. We also spoke with eight relatives and received feedback from one of the volunteers. We spoke with the registered manager, clinical lead, a Trustee, two registered nurses, seven care workers, two activities staff and the chef. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed the care records of four people and looked at the records for four staff that had been recruited since our last inspection and other records relating to the management of the service such as medicines administration records, audits and staff rotas.

Both during and following the inspection, we obtained feedback from four health and social care professionals who worked closely with the home.

Updated 8 August 2019

About the service

Moorside is a care home providing personal and nursing care to up to 31 people. There were 27 people using the service when we inspected. The accommodation is arranged across four suites each accommodating up to eight people. The registered provider, St John’s Winchester, is a registered charity run by a board of Trustees.

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

People received outstanding person-centred care that met their individual needs. Activities were meaningful to people and provided positive outcomes, enjoyment and occupation. The end of life care was described as outstanding both by professionals and relatives. People's communication needs were identified and planned for. Relatives were confident that they could raise any issues or concerns with any member of staff or the management team and that these would be addressed.

Planned staffing levels had not always been met and feedback about staffing levels was mixed. The provider was currently reviewing this, and we have made a recommendation that this be approached in a more systematic way that is clearly based upon people’s needs. Care staff were well informed about risks to people’s health or wellbeing and knew how to deliver their care safely. Medicines were managed safely. The service was visibly clean throughout and no malodours were noted. Staff received training in safeguarding adults from harm and had a positive attitude to reporting concerns. There were some systems in place to learn from safety events and lessons learnt were shared effectively with staff.

People told us that staff were kind and caring. Staff provided comfort and support if people became anxious or upset. Staff demonstrated an inclusive culture and respected people’s individuality and that of their colleagues.

People needs were assessed and planned for. Staff were well trained and well supported and had the necessary skills and knowledge to perform their roles and meet their responsibilities. People’s nutritional needs were met. The design and layout of the building met people’s needs. 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. Action was being taken to ensure that best practice frameworks regarding consent were fully embedded.

There was a clear leadership and management structure in place which helped to ensure that staff at all levels were clear about their role and responsibilities. The service was well organised and had a range of systems in place to ensure its smooth operation and to support good practice and communication.

Rating at last inspection

In May 2018, the provider of Moorside made a change to their registration which meant that they were required to register as a new provider. This means that this is the first inspection of Moorside under the current registered provider.

Why we inspected

The inspection was a scheduled inspection based upon our methodology for newly registered services.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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