Moston Grange Nursing Home

Updated 1 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 13 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 1 February 2022

About the service:

Moston Grange Nursing Home provides nursing care for adults aged 18 years’ and over (male and female) and specialises in supporting people with a variety of types of dementia and whom may present with complex challenges. It is currently registered to provide care for 64 people who may be informal or subject to certain conditions under the Mental Health Act 1983. At the time of this inspection 46 people used the service.

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

A major refurbishment of Moston Grange had been completed to an exceptionally high standard. The design and decoration, both internally and externally, exceeded evidenced-based best practice standards for creating an environment that supported people living with dementia, memory problems, behaviours that challenge and mental health support needs.

Each of the four new ‘households’ were unique in their design and presentation but remained functional to meet people’s diverse needs. The overriding standout feature of each household was a feeling of calm and tranquillity. Each household benefited from a dedicated private outside space that was completely integrated into the overall therapeutic design.

The meal time experience placed people at the very heart in recognising good nutrition and hydration was fundamental to every aspect of a person’s overall wellbeing. The lunch time experience was an extremely relaxed and pleasurable social experience that people clearly looked forward to and enjoyed. This experience was greatly enhanced by the fact mealtimes were a shared experience between both staff and people living at the home.

The learning environment at Moston Grange was one of empowerment and learning without barriers. Staff were encouraged and supported to be the very best they could be, and to achieve their maximum protentional. A joined-up and fully integrated approach to learning and continuous professional development, supported staff on their individual learning journey right through from a comprehensive induction, to independent practice.

A human rights approach had been seamlessly woven into every aspect of service delivery across Moston Grange. People's differences were recognised and celebrated.

The positive culture, ethos, vision and values of Moston Grange shone through from the moment you walked into the home. Each and every member of staff we spoke with demonstrated a high values base and were clearly highly invested into ensuring the home was a caring place for everyone.

Everyone was considered to be equal partners in their personal care journey and no matter how small their contribution, each person was supported to express their views in a way that was personalised to the individual.

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 requires improvement (published 18 December 2018) and there was one breach of regulation in the key question of ‘safe’. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found significant improvements had been made, and sustained, and the provider was no longer in breach of regulations.

Why we inspected:

This was a planned inspection based on the previous rating.

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.