Moorlands Grange

Updated 8 March 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 1 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

Moorlands grange is a ‘care home’ managed by the local authority in Kirklees. 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. Moorlands grange 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 used information gathered as part of monitoring activity that took place on 22 March 2022 to help plan the inspection and inform our judgements. We requested feedback from stakeholders, including the local safeguarding and commissioning teams. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people who used the service, 3 relatives and 1 friend of someone using the service about their experience of the care provided. We gathered feedback from 10 staff members including the registered manager, service manager, deputy manager, health and safety staff, care staff and the on-site health care team.

We reviewed a range of records including; 4 peoples care plans and risk assessments, 6 peoples medicines records and 2 staff files in relation to recruitment. We reviewed a variety of records relating to the management of the service, audits and service improvement plans. Following the site visit, we reviewed further information and evidence from the provider. This included further medicines evidence, action plans, incident records and meeting minutes.

Updated 8 March 2023

About the service

Moorlands Grange is a residential care home providing personal care for up to 40 people who require short-term or intermediate care. People are supported by a core team of staff and an on-site health care team which includes; pharmacists, physiotherapists, occupational therapist, nurses and other health care professionals. At the time of our inspection there were 28 people using the service.

The service is a purpose-built building and is set out across 2 floors, each divided into 2 units, with adapted facilities. Each unit has a kitchen, lounge and dining area. Each bedroom has an en-suite facility.

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

People’s medicines were at risk of not being administered safely. We found no evidence of harm to people and the provider was working to address staff’s performance around medicines. We have made a recommendation about embedding safe medicines practices.

Risks associated with people’s care were appropriately assessed and staff were aware of said risks. Improvements had been made to records associated with risks to people’s care. We found risk assessments and care plans to be detailed and person-centred.

People told us they felt safe. Staff were trained in and aware of their safeguarding responsibilities. Infection, prevention and control measures were followed to ensure staff protected people from the risk of infection.

Sufficient numbers of staff were available in line with people’s needs. People and relatives mostly spoke positively about the care received from the staff team. One person said, “Yes I feel safe here, the staff are so good.”

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.

Effective quality and governance processes were in place and the registered manager worked proactively to drive service improvement. Any concerns were promptly investigated, and lessons learnt were shared with staff. The service worked with the on-site health care team and other health and social care professionals to ensure people’s care was effective.

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 01 May 2019) and there was a breach of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended the provider took action to update their medicines practice. At this inspection we found the provider had taken action to address their medicines practice, but required a further recommendation to ensure newer governance processes were embedded for managing medicines safely.

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.

Why we inspected

We undertook this focused inspection 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.

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

Recommendations

We have made a recommendation about embedding newer quality assurance processes to address staff performance in relation to safe medicines management.

Follow up

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