Archived: Moorgate Hollow

Updated 27 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection was unannounced, which meant that the home’s management, staff and people using the service did not know the inspection was going to take place. The inspection visit took place on 29 March 2017. The inspection was carried out by an adult social care inspector.

During the inspection we spoke with staff and members of the home’s management team. We spoke with five people who were using the service at the time of the inspection, and a visiting relative. We checked people’s personal records and records relating to the management of the home. We looked at team meeting minutes, training records, medication records and records relating to the way the quality of the service was monitored.

We observed care taking place in the home, and observed staff undertaking various activities, including supporting people to eat and using specific pieces of equipment to support people’s mobility. In addition to this, we undertook a Short Observation Framework for Inspection (SOFI) SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well

and improvements they plan to make. This was returned prior to the inspection. We also reviewed records we hold about the provider and the location, including information provided to us by relatives of people using the service and notifications that the provider had submitted to us, as required by law, to tell us about certain incidents within the home.

Updated 27 April 2017

The inspection was unannounced, and took place on 29 March 2017. The home was previously inspected in March 2016. At that inspection we identified concerns in relation to the governance of the home, and in relation to the provider’s compliance with the Mental Capacity Act 2005. We gave the home a rating of “requires improvement.” Following that inspection the provider submitted an action plan to CQC setting out what steps it would take to address these breaches.

Moorgate Hollow is a 24 bed care home, providing care to older adults with support and care needs associated with dementia. At the time of the inspection there were 23 people living at the home.

Moorgate Hollow is in Rotherham, South Yorkshire. It is in grounds shared with two other homes managed by the same provider, and is within walking distance of the town centre.

At the time of the inspection, the service did not have a registered manager. The previous registered manager had recently left their post. A new manager had been appointed and had submitted an application to become registered. 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 and associated Regulations about how the service is run.

During the inspection we observed that staff treated people with warmth, dignity and respect, and people using the service and their relatives praised the care at the home. There was a varied range of activities at the home, which people told us they enjoyed.

Medicines were managed well, and staff had received training in areas relating to safety, including moving and handling, medicines management and safeguarding.

People were offered a choice of nutritious meals and their health in relation to nutrition and hydration was well-monitored.

The provider had appropriate arrangements in place for acting in accordance with the Mental Capacity Act 2005, and ensured that the Act was adhered to in relation to people who lacked the capacity to make decisions about their health and welfare.

Where people’s needs changed, the provider took action to ensure that their changing needs were assessed and care was adapted accordingly. People’s risk assessments were up to date and addressed all the areas where people were vulnerable to risk.

Quality audits and surveys were used to assess the quality of the service provided, and actions were implemented where any shortfalls were identified.