The Moors Care Centre

The moors care centre is a residential care home providing personal and nursing care to 57 older people and younger adults at the time of the inspection, some of whom may be living with dementia. The service can support up to 70 people.

The Moors Care Centre accommodates people across four separate units spread over three floors, each of which has en-suite bedrooms and separate adapted facilities. One of the units provides residential care, two units provide dementia care and one unit provides nursing care.

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

Records and documentation around people’s care was not written in a person-centred way and did not provide enough relevant detail. Care plans and risk assessments were not always in place or did not include sufficient detail for staff to follow and guidance was inconsistent. Staff who worked at the home knew people, their needs and preferences well. However, there was a risk of harm if staff were new or did not know the person well.

Staff told us that the electronic care records were not easy to use, and it was difficult to find the information they needed. It was not always clear where staff should record information about the care they provided or concerns. This had led to inconsistencies in reviewing incidents for one person.

The registered manager was aware that there were issues with the care records. However, audits in place did not reflect the issues and there were no plans around how this was going to be addressed and improved.

Records and administration of medicines were safe and managed well. We have made a recommendation around the storage of prescribed creams and ointments.

People told us they felt safe and were happy with the care provided at the home. The environment was clean, safe and well maintained. People had the opportunity to personalise their rooms and had access to facilities on site such as a café, salon and cinema.

Staff were recruited safely and had received a good induction, regular training and had opportunities to develop their skills. Staff told us they felt supported but formal supervisions were not as regular as they should have been due to the impact of COVID-19. One staff member told us, “I have had maximum support from senior carers and management. The staff are very dedicated and passionate”.

People told us they had choice and control over their care and decisions within the home. Documentation around the mental capacity act needed to be improved and we made a recommendation around this.

People and their relatives were happy with the communication from the home. They were comfortable raising concerns if needed and felt listened to by the registered manager and staff.

The home had good relationships with external agencies ad professionals such as the local authority and GP; they worked well with each other to ensure good outcomes for people.

People were involved and contributed to their local community and events. Activities in the home were meaningful, varied and tailored to individuals. Relatives told us they felt welcomed in the home and were happy with how their loved ones were cared for. One relative described the care as “first class”.

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.

Rating at last inspection

This service was registered with us on 21 August 2019 and this is the first inspection.

The last rating for the service under the previous provider was good, (published on 30 August 2019).

Why we inspected

This was a planned inspection as the service has not been inspected since registering as a new provider with CQC.

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.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.