We carried out a review of the data available to us about The Moorings on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Moorings, you can give feedback on this service.
The Moorings is a residential care home providing personal care to up to 53 older people in one adapted building. At the time of the inspection there were 49 people using the service, some living with dementia.
People’s experience of using this service and what we found
Risks to people were managed well, risks were assessed and measures in place to reduce them. This helped to keep people safe from avoidable harm and abuse. There were enough staff to meet people’s needs and staff recruitment was undertaken safely. People received their medicines when they needed them, and regular checks reduced risks associated with medicines. Infection control processes reduced the risks of cross contamination. There were systems to learn from incidents and these were used to drive improvement.
Staff were provided with training and support to meet people’s needs effectively. People’s health and dietary needs were assessed and met, any wellbeing concerns were referred to health care professionals. 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.
People were treated with respect and compassion by staff who knew them well. People’s rights to independence, privacy and dignity were promoted and respected. People’s preferences relating to the care they received were valued and listened to.
People’s individual needs were assessed, planned for and guidance provided to staff in how these needs and preferences were met. This included people’s end of life decisions. People had the opportunity to participate in social activities. There was a complaints procedure in place.
The service had systems to assess and monitor the care and support people received. Where shortfalls were identified, actions were taken to address them. There was an open culture, and people's views about the service were valued and used to drive improvement.
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 6 July 2017).
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.
The Moorings is a residential care home for up to 53 older people, some of whom may be living with dementia. In the older part of the home, there are some bedrooms on the first floor with a new, large lift for people to access both floors. The remainder of the service is purpose built with single storey, level access throughout. At the time of this inspection, there were 43 people living in the home.
At the last inspection, the service was rated Good. At this inspection, we found the service remained Good.
Why the service is rated Good:
Staff continued to help keep people safe from the risk of harm or abuse. The management team assessed risks to people's safety and staff followed guidance for minimising these. There were enough staff to support people safely. Recruitment processes contributed to protecting people from the employment of staff who were unsuitable to work in care. Staff supported people safely with their medicines.
Staff supported people competently and effectively. Staff supported people to have choice and control of their lives and in the least restrictive way possible. People had a choice of enough food and drink to keep them well, and staff support in this area if they needed help. Staff monitored people's health and wellbeing and sought professional medical advice promptly when people needed this.
Staff had developed warm and compassionate relationships with people and supported them in a caring manner. Staff respected people's choices and privacy and encouraged people to maintain their independence.
Staff were aware of people's preferences, what was important to them, their hobbies or interests and supported people to maintain these. People were able to keep in touch with their friends and family. People were confident that, if they needed to, they could make a complaint about their care and have their concerns investigated and addressed.
There was stable and consistent leadership within the home, contributing to good staff morale and teamwork. People's views were taken into account in the way the service was operating and there were regular checks to see what improvements could be made to ensure a good quality service.
Further information is in the detailed findings for this report.
This inspection took place on 23 June and was unannounced.
The Moorings provides support and care for up to 39 older people who may be living with dementia. At the time of our inspection there were 27 people living there. This was because the provider had reduced the numbers of people accommodated so that building work could take place in a way that minimised the impact for people using the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff knew the importance of recognising, responding to and reporting any indications which might indicate a person had been abused or harmed in some way. Staff were properly recruited to ensure that they were safe to work in care and there were enough of them to meet people’s needs properly. Where staff took responsibility for storing and administering medicines to people, they did this safely.
Staff were competent and had a good understanding of people’s preferences and wishes. They ensured they sought advice promptly on behalf of people who became unwell. Staff understood the importance of supporting people to have enough to eat and drink. They also understood the importance of offering people choice and how to support those who may find it difficult to make informed decisions about their care.
Staff ensured that people’s privacy and dignity was respected. Staff responded with warmth and kindness to people’s requests for assistance. People were consulted about their care, with support from their family if it was necessary. They were supported and encouraged to follow their interests and activities and there was a sociable and cheerful atmosphere within the home.
People, with support from their relatives where it was needed, could raise complaints or concerns about the quality of care they received and have these addressed. People were also enabled to express their views about the way staff supported them and were satisfied with the care they received.
The service had good and consistent leadership. The provider and manager took responsibility for monitoring the quality and safety of the service. They encouraged people or their relatives to express their views so that improvements were identified and made where possible. Staff were clear about their roles and well-motivated.