Moreton Hill Care Centre

Updated 25 November 2022

The inspection

This was a targeted inspection to check on concerns we had about end of life care.

Inspection team

The inspection was carried out by an adult social care inspector and a medicines inspector.

Service and service type

Moreton Hill Care Centre 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. Moreton Hill Care Centre is a care home with 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 not a registered manager in post. A new manager had been in post for almost three months and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR) from February 2022. 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 spoke to eight staff members including the regional director, the regional clinical development lead, the acting general manager, two nurses, a trainee nurse and two care staff. We also spoke to two family members.

We reviewed three medicine administration records and three care plans related to end of life care. We reviewed other medicines related records.

After the inspection

We looked at policies and procedure in relation to end of life and medicines.

Updated 25 November 2022

Moreton Hill Care Centre is a care home for 67 people, some of whom are living with dementia. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection. Moreton Hill Care Centre provides accommodation with nursing and personal care. At the time of our inspection 41 people were living in the home.

At the last inspection in June 2016, the service was rated Good. We carried out a comprehensive inspection on 10 and 11 January 2018. At this inspection we found the service remained Good.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Sufficient numbers of staff were deployed at the time of our visit. Staff performance was effectively monitored. Staff received supervision and training to ensure they could meet people’s needs.

People’s medicines were managed safely and audits and checks were completed. Actions were taken when errors were identified.

Staff demonstrated a good understanding of safeguarding and whistleblowing and knew how to report concerns.

Risk assessments and risk management plans were in place. We found improvements were needed to make all risks were fully considered and appropriate actions taken to keep people safe.

Incidents and accidents were recorded and the records showed that actions were taken to minimise future occurrences.

People’s dietary requirements and preferences were recorded and people were provided with choices at mealtimes.

Staff were kind and caring. We found people were being treated with dignity and respect and people’s privacy was maintained.

A range of activities were offered and provided people with entertainment both in and out of the home.

Systems were in place for monitoring quality and safety and actions were taken where areas for improvement and shortfalls had been identified.