Inspection on 12/10/09 for Moreland House

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The provision of health and personal care is good and is based upon privacy, dignity and respect. On admission to the home all residents have a nutritional assessment based on MUST, and weights are monitored on an ongoing basis with referrals being made to specialists if necessary. Residents told us that the food is very nice and that they are given a choice at mealtimes. Fresh fruit is available on a daily basis and drinks and snacks are also available throughout the day and night. People living at the home are encouraged to be as independent as is possible, with assistance being given by the care staff where necessary and appropriate. The premises are well maintained, clean and free from offensive odours.

What has improved since the last inspection?

Care plans are more person centred and those looked at gave a clear picture of the individual person and his/her needs. Social activities have improved and these include gentle chair exercises in the morning after breakfast, board games, quizzes and some external entertainers. Festivals and birthdays are celebrated by the residents and the home holds an annual summer barbecue which is always enjoyed by residents and their relatives and friends.

What the care home could do better:

There is still room for improvement around activities, especially those which encompass the wider community. Care plans need to include information on end of life wishes and also on where a person does not have capacity to make informed decisions especially on health and social care, medication, and financial management. Where a person is deemed not to have capacity it is necessary for a capacity test to be undertaken under the Mental Capacity Act 2005 with the outcomes and actions being clearly recorded. The administration of PRN (as required) medication must have the necessary protocols in place, and the controlled drugs cupboard must be in accordance with the new legislative requirements which can be obtained from the Commission`s website. Also a resident`s MAR (medication administration record) must include a photograph of the resident, and these were missing for many of the residents. It is also important that the registered manager receives regular supervision as required under the Care Homes Regulations 2001.