Archived: Moor View

Updated 2 February 2021

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.

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 three inspectors. Two inspectors visited the service during the evening and another inspector spoke on the telephone with staff working at the service.

Service and service type

Moor View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. A registered manager along with the provider is legally responsible for how the is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced. The visit to the service was made during the evening.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We spoke with staff involved with the service from the local authority and Clinical Commissioning Group (CCG).

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with two members of support staff during our visit to the service and five members of support staff on the telephone. We spoke with one person who used the service and reviewed a range of records. This included people's risk assessments, care records and multiple medication records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at a number of records sent to us by the provider including training data, staffing records and quality assurance records.

Updated 2 February 2021

About the service

Moor View Care Home is a residential care home that was providing personal care to six people with mental health needs. The service is registered to provide care to up to 17 people.

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

People were not always safe. Medicines were not always managed safely and staff did not feel adequately trained to manage medicines. There was evidence of staff working outside the registration of the service in relation to administration of medicines.

Some staff lacked confidence in developing and understanding risk assessments.

Not all staff understood how the emergency call system worked and staff had failed to report issues with the system.

Staff had not been provided with all the training they needed to carry out their duties and were not always supported in their roles.

Staff followed the provider's COVID-19 policy and infection and protection government guidelines.

There was a lack of effective and consistent management of the service. Staff did not always feel supported by the management team.

The provider’s systems for assessing and monitoring the safety and quality of the services provided were not effective in identifying shortfalls and improving the service.

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 requires improvement (published 23 January 2019). At this inspection we found breaches of regulation 9 (Person centred care) and regulation 17 (Good governance).

Why we inspected

This inspection was prompted in part due to concerns received about management and safety. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led. No areas of serious concern were identified in the other key questions. We therefore did not inspect them. Ratings from the previous comprehensive inspection for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from good to inadequate. 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 Moor View on our website at www.cqc.org.uk.

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 coronavirus and other infection outbreaks effectively.

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 discharge our regulatory enforcement functions required 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.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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.

Special Measures

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions of registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.