Moorfields Lodge

Updated 17 December 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 8 December 2020 and was announced.

Updated 17 December 2020

About the service

Moorfields Lodge is a small residential care home providing personal and nursing care to four people with learning disabilities and autism at the time of the inspection. The service can support up to five people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

The ethos of the organisation was to enable people to have as much independence, choice and control as possible. We saw many examples of people leading the life of their choice and being able to influence that daily. Relatives told us without exception, how caring and respectful the registered manager and staff were not only to people living in the home but also their relatives. Staff went above and beyond to ensure people were able to communicate their wishes and ‘have a voice’.

People's care records were detailed and personalised to meet individual needs. Staff understood people's needs and responded when needed. When people were not able to be fully involved with their support plans, family members and friends supported staff to complete and review people's support plans. People's preferences were sought and respected.

People had staff support to access activities and holidays. This was flexible and provided in response to people's choices. Staff knew people’s communication needs, they had received training in how to support people with different communication needs.

People were supported by a service that was well managed. Records were accessible and up to date. The service was audited, and action taken to address any areas identified that needed improving. Relatives were complimentary of the management of the service with one commenting; "You couldn’t ask for a better place." Staff were committed to providing good outcomes for people.

People's known risks were assessed and managed to reduce the risk of avoidable harm. Staff knew how to keep people safe and how to report any concerns relating to people's safety. Staff had good knowledge of people's preferences and used these to support people safely.

Medicines were managed safely, people received their medicines when needed. Staff received an induction and ongoing training and felt supported by the registered manager. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Infection control measures were in place to prevent cross infection. Systems were in place to deal with concerns and complaints.

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 23 August 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.