25 July 2022
During an inspection looking at part of the service
Moorfields Care Home is situated in a residential area close to Bury town centre. The home is registered to provide 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 being used for single occupancy. At the time of the inspection there were 17 people living at the home.
People’s experience of using this service and what we found
Prior to this inspection we received some concerns in relation to governance, the environment and meal arrangements.
During the inspection we found shortfalls with regards to the environment and health and safety. The provider had failed to address maintenance work required following the servicing of the premises and equipment. We also found the general environment was tired and needed enhancing. For example, carpets needed replacing, and the premises needed redecoration and replacement of worn furniture.
Governance systems had not been sufficiently robust to identify the areas of improvement required. The new registered manager was implementing audits and checks which were providing better oversight of the service, as well as identifying further improvements to enhance the experiences of people and staff.
From our observations, discussions with people and the cook we found sufficient food supplies were available and a choice of meals were offered. The cook clearly understood the need for good nutrition and hydration and was aware of people’s individual preferences. People were complimentary about the meals provided.
Opportunities for people, their relatives and staff to comment about the service provided had been improved. Feedback surveys had been distributed as well as staff and resident meetings. A newsletter had also been sent to people’s relatives, so they too were kept informed about events within the home. People were seen to enjoy a good rapport with staff who understood their individual needs.
Sufficient numbers of staff were provided. Recruitment checks for new staff and agency staff were not robust enough, however the registered manager agreed they would address this. Staff training and development had been reviewed. The registered manager was exploring opportunities to further enhance staff skills. Staff felt morale was improving and said the appointment of the registered manager had been a positive one.
Feedback from people and their visitors was very positive about the care and support provided. One family member felt an on-going concerns were now being addressed with good communication from the registered manager.
We found appropriate systems were in place with regards to consent and capacity. 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.
Suitable arrangements were in place to safely manage people’s prescribed medicines, infection control procedures and safeguarding.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 January 2020).
Why we inspected
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.
We received concerns in relation to governance, the environment and meal arrangements. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. You can see what action we have asked the provider to take at the end of this full report.
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.
At this inspection we have identified breaches in relation to health and safety and the provider’s oversight of the service.
Please see the action we have told the provider to take at the end of this report.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.