Archived: Moorfields Care Home

Updated 19 September 2023

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 Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Moorfield 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. Moorfield is a care home without 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We had received feedback from the local authority quality monitoring team who work with the service. We used all this information to plan our inspection.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 12 people who used the service and the relative of one person, to seek their feedback about the service provided. We spoke with 6 members of staff. These included the registered manager, care staff, kitchen, and domestic staff. We also spoke with a Care Consultant who supports the service on behalf of the Administrators. The Provider is currently in administration awaiting new ownership.

We reviewed a range of records. These included the care records for 2 people, 2 staff recruitment files and audits and monitoring systems. We also looked at the management and administration of people’s prescribed medicines. Other records such as health and safety were reviewed remotely following the site visit.

Updated 19 September 2023

About the service

Moorfield Care Home provides accommodation and personal care for up to 20 people, some of whom live with dementia. Accommodation is provided over two floors with access via a passenger lift. There are 16 single bedrooms and two shared rooms, which were now being used for single occupancy. At the time of the inspection there were 18 people living at the home.

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

We found action required following our last inspection had been addressed. Work to ensure the safety of equipment and the premises had been carried out ensuring people were kept safe.

A new electronic governance system had been introduced. This provided the management team with better oversight of the service and where further improvements could be made. Findings would be used to inform the homes improvement plan.

Electronic care records were now being completed. Staff were continuing to develop their skills on the new system so that information was provided in sufficient detail and personalised. Risks identified in relation to people's health and well-being were assessed and monitored so appropriate action could be taken, and any learning could be shared with the team.

People knew who to speak with if they had any concerns. They told us they felt safe living at Moorfields, staff were respectful and they and were well cared for. 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; the policies and systems in the service supported this practice.

Safe recruitment procedures were followed. From our observations and feedback from staff we found support was ‘task’ focused providing little flexibility. The registered manager was to review staffing levels following a large increase in occupancy and people’s levels of dependency.

People’s prescribed medicines were managed and administered safely. Weekly support was provided by the GP ensuring the current and changing needs were met.

Hygiene standards were maintained within home. People told us their rooms were kept clean and tidy. A programme of redecoration was to be completed to enhance areas of the home.

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 2 September 2022).

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 improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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 requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moorfields Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.