The Care Quality Commission
  • Services in your home
  • Homecare service

Archived: Moorview Care (Derby)

Overall: Requires improvement read more about inspection ratings

18-22 The Old Court House, St. Peter's Street, Derby, DE1 1NN (01332) 653663

Provided and run by:
Moorview Care Limited

All Inspections

5 October 2022

During an inspection looking at part of the service

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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Moorview Care (Derby) is a supported living service. The service supports younger adults living with learning disabilities, autism and mental health support needs. At the time of our inspection Moorview Care (Derby) were supporting three people at one supported living setting in their own flats. The supported living setting can support up to four people.

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

Right Support

People did not always receive consistent support to meet their needs and pursue their interests. The support people received was not always interactive and inclusive. People did not always get support to receive their medicines safely and to be protected from the risk of financial abuse. However, people received support to maintain clean, safe environments, and people were able to personalise their living environments in line with their preferences.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests. However, the policies and systems in the service did support this practice.

Right Care

People did not always receive consistent support to meet their needs and pursue their interests.

The support people received was not always interactive and inclusive. People did not always get support to receive their medicines safely and to be protected from the risk of financial abuse. However, people received support to maintain clean, safe environments, and people were able to personalise their living environments in line with their preferences.

Right Culture

People did not always experience a person-centred culture. Improvements were needed to ensure people could lead inclusive and empowered lives. However, staff and the provider did share information openly with people's relatives and other professionals involved in people's care to promote improvements.

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 good (published 24 July 2022).

Why we inspected

We received concerns in relation to care planning, safety and management oversight of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report. The provider took action to mitigate risks to some of our concerns during the inspection, however several concerns remained in other areas.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to people’s safety, safeguarding, person centred care, consenting to care and treatment, staffing and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.

27 April 2022

During a routine inspection

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 which most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Moorview Care (Derby) is a supported living service. The service specialises in caring young adults with complex health needs, including learning disabilities or autistic spectrum disorder and sensory impairment. Moorview Care (Derby) were supporting two young people at the time of out inspection and were in the transition process to move a third person into the accommodation. The supported living setting can support up to four people.

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

Right Support

Staff supported people with their medicines in a way which promoted their independence and achieved the best possible health outcome. Medicines were managed safely.

People had a choice about their living environment and were able to personalise their rooms. People’s room were very personalised, and people were able to decorate their room to reflect their interests and hobbies.

Staff enabled people to access specialist health and social care support in the community and people were supported to play an active role in maintaining their own health and wellbeing.

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

Right Care

People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.

People could take part in activities and pursue interests that were tailored to them.

Right culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.

Staffing was consistent, which supported people to receive care from staff who knew them well. This meant people received compassionate and empowering care which was tailored to their needs.

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

This service was registered with us on 21 January 2021 and this is the first inspection.

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.