This is the latest available inspection report for this service, carried out on 14th December 2009.
it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Annual service review
Name of Service: Moorlands Nursing Home The quality rating for this care home is: The rating was made on: two star good service 1 1 1 1 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Mavis Clahar Date of this annual service review: 1 1 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Macdonald Road Lightwater Surrey GU18 5US 01276473140 01206828291 moorlands@caringhomes.org Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Lydia Dipuo Makuyana Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Moorlands (Lightwater) Ltd Number of places (if applicable): Under 65 Over 65 41 0 0 41 The maximum number of service users who can be accommodated is: 41 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - DE Old age, not falling within any other category - OP Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Moorlands is an attractive house built in the early 1900s. The home is set in its own grounds, situated 1 mile from Lightwater village centre, 2 miles from Camberley town
Annual Service Review Page 2 of 6 1 1 1 1 2 0 0 8 centre and within reach of the major towns in North West Surrey. The home provides nursing care and accommodation on two floors for 41 older people. Twenty-five of the bedrooms have en-suite facilities. The home has a lift and stair access to the upper floor. The home is tastefully decorated and furnished, with lounges and quiet areas overlooking well-kept gardens. The home is staffed by Registered Nurses and health care assistants, and is supported by the Primary Health Care Team and specialists nurses. The range of fees for the rooms is from 570 - 785 pounds per week and includes physiotherapy assessment. There is an additional cost for hairdressing, chiropody service and any personal toiletries, newspapers and magazines. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service.The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Surveys Surveys were returned to us from four persons using the service, from two care workers and one visiting health professional. Notifications Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection report and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent CQC(us, we) their Annual Quality Assurance Assessment (AQAA) when we asked for it and there was a lot of good information contained in this document. The AQAA informs the home deals with Equality and Diversity and Equal Opportunity issues in the selection and training of care workers and this is further enhanced in supervision sessions. We received four completed surveys from service users, one from health professional visiting the home on a regular basis and two from staff working at the home. Service users informed us that they can make decisions about what they do each day, knew who to talk to if they were not happy and knew how to make a complaint . These survey also informed us that the staff always treat them well, and listen and act on what they say. They also informed us that the staff treated them with respect and dignity and keeps them up to date with suitable information. The AQAA informs the home has introduced Person Centred Care plans which are more user friendly to staff and more appropriate for the service users. Qualified staff continues to facilitate this change from the old version to new format of care plans. New working trolleys with lids were purchased so that soiled linen may be transported to the laundry discreetly without making it obvious that bed linen or clothes gets soiled thereby respecting the dignity of service users. The AQAA informs us that less than 10 of carers have attained NVQ L2 or above and no carers are currently undertaking NVQ L2 course. Carers work from a detailed care plan which is reviewed daily, weekly or monthly depending on the needs of the service user. Medication training is current and ongoing. Staff follow the agencys policy and procedure on administering medication including self medication should the need arise. Also some staff has attended the Dementia Yesterday Today Tomorrow training which has enhanced the understanding of service users with dementia and subsequently is providing better understanding of dignity and privacy issues for those who have impaired and or lack mental capacity. The AQAA informs us Staff are trained in Safeguarding Adults based on the surrey Annual Service Review Page 4 of 6 multi-disciplinary process and this was supported by completed questionnaires sent in by the staff. Comment seen on one staff questionnaire about what the home does well home manager who puts the needs of the service users first, whilst supporting the care staff. The home has received 17 complaints since the last Key Inspection of which 12 were upheld. 94 of complaints were resolved within 28 days according to the homes policy and to the satisfaction of the complainants. The AQAA also informs no adult Safeguarding issues were raised within the last year since the Key inspection. The home continues to let us know about things that have happened since our last key inspection. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. The Care Quality Commission has not received any complaints or allegations in regard to this service. What are we going to do as a result of this annual service review? We will continue with our inspection plan and the service will receive a key inspection as planned during 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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