This inspection took place on the 22 August 2017 and it was unannounced.Moore Place is registered to provide the regulated activity of accommodation for persons who require personal care to a maximum of 60 people, some of who have dementia.
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 and associated Regulations about how the service is run.
People and their relatives told us they felt the service was safe. They stated that all staff were very kind and they had no concerns about their safety. Staff had received training in relation to safeguarding and they were able to describe the types of abuse and the processes to be followed when reporting suspected or actual abuse.
Staff had received training, regular supervisions and annual appraisals that helped them to perform their duties. New staff commencing their duties received induction training to help prepare them for their role. Staff told us that they worked with another member of staff until they and their registered manager felt they were competent to work on their own.
There were enough staff to ensure that people’s assessed needs could be met. It was clear that staff had a good understanding of how to attend to people’s needs.
Medicines were managed in a safe way and the recording of medicines was completed to show people had received the medicines they required. Staff were knowledgeable about people’s medicines and explained to people what their medicines were for. People were able to administer their own medicines and appropriate risk assessments had been produced to enable this.
Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way
People were not prevented from doing things they enjoyed as staff had identified and assessed individual risks for people. The registered manager logged any accidents and incidents that occurred.
The provider ensured that full recruitment checks had been carried out to ensure that only suitable staff worked with people at Moore Place.
People lived in a homely environment that had been adapted to the needs of people. Regular servicing of equipment used at the home was undertaken to ensure they remained in a good state of repair and were safe to use.
People were encouraged and supported by staff to be as independent as they were able. Staff supported people to eat a good range of foods. Those with a specific dietary requirement were provided with appropriate food. Staff monitored people’s nutritional and hydration needs. Referrals were made to the appropriate healthcare professionals when a person was identified at being at risk of dehydration or malnutrition.
People had access to external health services and professional involvement was sought by staff when appropriate to help maintain good health.
People told us that staff treated them with respect and ensured their privacy and dignity was maintained at all times. People were able to spend time on their own in their bedrooms and their personal care needs were attended to in private. People took part in a variety of activities that interested them.
Documentation that enabled staff to support people and to record the care they had received was up to date and regularly reviewed. People’s preferences, life stories, personal care needs, likes and dislikes were recorded.
If an emergency occurred or the home had to close for a period of time, people’s care would not be interrupted as there were procedures in place. Staff were aware of these procedures and how to safely evacuate people to a place of safety.
A complaints procedure was available for any concerns. This was displayed at Moore Place and each person was provided with a copy of this document.
Staff and the provider undertook quality assurance audits to ensure the care provided was of a standard people should expect. Any areas identified as needing improvement were attended to by staff.
Relatives and associated professionals had been asked for their views about the care provided and how the home was run and monthly resident meetings were held. Regular staff meetings took place so they could discuss events at the home and put forward ideas to help make improvements. Staff felt supported by the management of the home and that they could talk to the registered manager at any time.