Inspection on 30/11/09 for Moorleigh Residential Care Home Ltd

This is the latest available inspection report for this service, carried out on 30th November 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.

Other inspections for this house

Moorleigh Residential Care Home... 17/10/06

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Annual service review Name of Service: Moorleigh Residential Care Home Ltd The quality rating for this care home is: The rating was made on: two star good service 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: Clare Medlock Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Lummaton Cross Barton Torquay Devon TQ2 8ET 01803326978 01803311980 moorleighrch@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Moorleigh Residential Care Home Limited Number of places (if applicable): Under 65 Over 65 20 20 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 Moorleigh provides residential care for up to 20 people in the category of mental disorder, over or under the age of 65 years. The presenting problem must be a mental health problem, though residents may also have physical frailty or health problems. The Statement of Purpose makes it clear that a rehabilitation service is not offered. Long term care is offered, and staff and managers aim to help residents meet goals and aspirations in an informal manner. Most residents are long stay, but short stays can be offered to people unless they put at risk the well being of longer stay residents. The detached building provides accommodation over two floors. The home has two double rooms and sixteen single rooms. A large lounge is available which has a dedicated area set aside for dining. There is a separate smoking room, and a comfortable room available for private meetings of all sorts. There is a kitchenette on the first floor, suitable for individuals to do baking or other craft activities. At the front of the home there is an off road parking area. CCTV cameras are in place for security. Annual Service Review Page 2 of 8 There is a pleasant garden, with seating, a barbeque, and mature trees. The home is in walking distance of the local shops in the centre of Barton, Torquay. A mini-bus is available. The weekly cost of care at the home vary greatly depending upon the amount of support and care that is required. Currently a low level of care and support begins at approximately £460. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at a variety of information. 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. It also gave us some numerical information about the service Surveys received from people who use the service, staff, and healthcare professionals. 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 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 has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for and was submitted well within timescales. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. The AQAA stated that the home continue to listen to the views and feedback of service users. As a result of doing this that have been changes at the home. The AQAA stated that these included Dietary requests. Meals are frequently changed in accordance with requests from individual residents and as a result from the normal day to day discussions. This is an ongoing situation. We have listened to clients and planned with them trips out to places of new interests. On clients requests we have ensured that didgy boxes have been installed allowing for digital broadcasting and a greater range of programs in personal rooms. and From individual and group discussions with clients the management team have arranged an additional in house activity Pet Therapy this has been a big success and is now a regular on going activity. and As a result of listening to individual clients the home intends to install a Wii console which will be set up separately from the main lounge television to avoid interruption and inconvenience to other clients. The AQAA also listed many improvements that had been made in the last 12 months. These have included continuing to look look at care plans to ensure that client centered approach is thorough and truly meets the health and social needs of the client. The AQAA also stated that encouraging independence is a main focus and states We continue to encourage clients to be actively involved in the residents committee. We have helped another resident secure the services of an advocate and we have Annual Service Review Page 4 of 8 assisted them in obtaining bus passes as part of their independent life style. We have also helped a client to gain the services of a befriender (support worker) and to secure funding for this. The service also promotes health and well being and stated In January 2009 the manager introduced a new venture a healthy living group. This venture was unsuccessful due to lack of sustained interest. The aim was to help the residents to be better prepared and to provide themselves with healthy eating options once they leave the home, and for residents staying longer. It was also designed to help residents be more aware of how diet and mental health can be linked and how a healthy diet can help them manage their illnesses. Exercise oral hygiene, foot care, giving up smoking and other healthy lifestyle choices was also a topic of interest. Residents participating were to get the opportunity to prepare and to try out new fruits, vegetables and healthy foods in general. The management was prepared to providing the budget to allow this group to operate. We intend to try again and be more successful. People who use the service told us that they were pleased with the service they received. One person wrote Moorleigh is a good home to live in. The staff are good. I love the home. They help you alot. Another person wrote its a nice home on my good days. The food is nice but I dont always eat it but I am encouraged. I had (an injury) that (named staff) saw me through with love and support. All staff surveys said that there were always enough staff on duty. People who use the service said there were always staff available when they needed them. Surveys received from people who use the service told us that staff listen and act on what a person says. People told us they have a choice and are able to make decisions on what they do each day. People who use the service healthcare professionals and staff were all where the correct procedure to follow if a complaint was necessary. The AQAA reads The Management has a good record of dealing thoroughly with any matter brought to their attention. Moorleighs complaint procedure is published in the homes Statement of Purpose and is displayed on the residents notice board. It is also contained in the service user guide. The complaint procedure details how the registered manager will deal with any complaint and that any complaint will be answered within 28 days. The AQAA stated that the home has received no complaints. The care quality commission have not received any complaints since the last inspection. Staff thought that Moorleigh was a very nice family run business one person wrote I have worked at Moorleigh for over 25 years and have been very happy here. My long service says it all. When asked what they do well one member of staff wrote We look after individuals and help them to get back their independence. We also encourage residents to be actively involved in the running of the home. whilst another wrote We look after the residents. Looking after all their individual needs and making sure they all have their independence. The idea for them if they need advice or assistance with their needs. Health care professionals were also complimentary about the service. One person wrote the home provides a good cared for service that looks after individuals with diverse needs. They manage residents care well and always phone and advise us if Annual Service Review Page 5 of 8 signs of deterioration are evident. Health care professionals also wrote the residents have long-term needs and therefore staff get to know the residents and their needs very well. We tend to place all the clients there and those with physical needs that require assistance. One survey read As healthcare professionals we are all ways received well by staff. They take an active part in client reviews and will contact us if they have any concerns. When asked what the service could do better healthcare professionals wrote encourage more independent living. The AQAA detailed many areas where care is focused on promoting independence. Another comment included Maybe needs to look at a recovery focus The manager stated that training on recovery techniques has been booked for the next few weeks. Other staff stated sometimes they are a little bit cautious in their approach and asked to close for health and safety rules. Staff said the home has done a lot of renovation and refurbishment. People told us The home is very clean and The building is very pretty, its a very clean place. My bedroom is pretty. Staff told us they liked working at the home, and felt well supported by the manager. Staff also told us that they received adequate training and induction. The AQAA stated The home employs a distance learning training programme, and used it to provide in house training for our staff. This has been found to be useful, as staff can work at their own pace, can relate their learning to the residents and to their own work situation, and share with their colleagues. Training received has included principles of health and safety, principles of food hygiene, basic first aid, and infection control, coping with aggression, diet and nutrition, the protection of vulnerable adults and The Mental Capacity Act and Deprivation of Liberty Safeguards. When asked what could the home do better staff responses were mixed. One member of staff wrote I personally dont feel we could do anymore better than we do already. Many of the residents have motivation problems and do not always take advantage of the resources available already within the home. Whilst other staff requested more funding to enable more trips, holidays and activities to take place for the residents. The AQAA told us the service continue to listen to feedback from people who use the service. The AQAA read We have listened and acted on requests from some clients who have requested one to one trips out, who prefer not always to be in a group and who prefer a particular individual of the management team to escort them. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 We plan to continue with our inspection programme and intend to inspect this home before 8th November 2010. However, if we have concerns we are able to inspect at any time. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!