Updated 31 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector, a specialist advisor, an assistant inspector and an Expert by Experience visited the service on day one of the inspection. The Specialist advisor was a registered nurse. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. On day two of the inspection two inspectors and an assistant inspector visited.
Service and service type
The Moors Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with CQC. 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
This inspection was unannounced on the first day. We told the provider we would be coming on the second day.
What we did before the inspection
We reviewed information we had received about the service, including notifications for events the provider is required to tell us about. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us about their service, what they do well, and improvements they plan to make. This helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who use the service and eight relatives about their experience of the care provided. We spoke with 17 members of staff including a director, the nominated individual, registered manager, deputy manager, a nurse, four team leaders, four care workers, two activities coordinators, a maintenance worker and the chef. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with two GPs and a hairdresser who worked with the service.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included six people’s care records and multiple medicine records. We looked at three staff recruitment files and six staff supervision files. A variety of information relating to the management of the service, including quality assurance checks and accident and incident records were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and medicine reports.