Moor Villa

Updated 3 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one adult social care inspector.

Service and service type:

This service 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, both of which we looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did:

Before our inspection we completed our planning tool and reviewed the information we held on the service. This included notifications we had received from the provider about incidents that affect the health, safety and welfare of people supported by the service and previous inspection reports.

We also checked to see if any information concerning the care and welfare of people supported by the service had been received. We contacted the commissioning department who used Moor Villa and Healthwatch Lancashire. Healthwatch Lancashire is an independent consumer champion for health and social care. This helped us to gain a balanced overview of what people experienced whilst using the service.

As part of the inspection we used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with a range of people about Moor Villa. They included two people who lived at the home, a relative, the registered manager, duty manager and three staff.

We looked at records related to the management of the service. We did this to ensure the management team had oversight of the service and they could respond to any concerns highlighted or lead Moor Villa in ongoing improvements. We checked care records of one person who lived at the home. We also looked at staffing levels, recruitment procedures and training provision.

We walked around the building to carry out a visual check. We did this to ensure the home was clean, hygienic and a safe place for people to live.

Updated 3 May 2019

About the service:

Moor Villa provides care and support for a maximum of 16 older people who live with dementia, mental and/or physical health conditions. At the time of our inspection there were 13 people living at the home. Moor Villa is located on a main thoroughfare in Kirkham and is close to local community services. The detached property has two lounges, a dining area and sufficient washing facilities. Individual and twin bedrooms are located over two floors.

People’s experience of using this service:

People and their relatives stated they felt safe whilst at Moor Villa. One person told us, “Yes, I feel very safe and settled here.” Staff had a good level of awareness about safeguarding people from unsafe care and abuse.

The provider had sufficient staffing levels and skill mixes at Moor Villa. Staff confirmed they had adequate time to support people and engage with them. One employee said, “There's enough staff here. We have plenty of time to sit and chat with the residents.”

The registered manager provided staff with regular medication training to ensure they were knowledgeable and skilled at administration. People told us their medication was managed safely.

Staff had a good awareness about how to manage risks and reduce the potential of harm or injury. They completed risk assessments intended to minimise the risk of harm and unsafe care, which included actions to mitigate hazards. A relative stated, “There are a lot of risks associated with [my relative’s] medical diagnosis and they manage that really well.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. A staff member told us, “We make sure their human rights are respected every time, that we are not stopping them from making their decisions or from going wherever they want.”

The registered manager developed care planning and risk assessment around protecting people from malnutrition. People told us they enjoyed their meals. One person said, “The food is great. You get a good choice and there's always plenty on your plate.”

The management team had a wide-ranging training programme to ensure staff had the skills to effectively support people. An employee told us, “Training is vital in this role. We get plenty of training, no worries there.”

Staff worked hard at helping people and relatives feel welcomed at Moor Villa through a friendly and considerate approach. A relative commented, “The staff interact really well with [my relative]. She sees them as her friends, which is very important because we are all the family she has.”

Staff planned care that was personalised to people’s needs, preferences and choice. Care was focused on assisting them to maintain their independence. One person said, “I see them with the other residents and they are marvellous. They have a very caring, patient manner.”

People confirmed the home had a strong management team. One person stated, “Yes, it's a good home and the managers make sure it stays that way.” The management team completed frequent assessments of everyone’s safety and the quality of care delivery.

Rating at last inspection: At the last inspection the service was rated good (published 29 October 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any issues or concerns are identified we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk