Moormead Care Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

In this key question we looked at 1 quality statement relating to Governance, management, and sustainability. We found 1 breach of the legal regulations related to governance systems.

This service scored 7 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Leaders said they completed their own audits and had oversight of audits completed by other staff. The provider said they addressed actions identified in audits. For example, the arrangement of repairs when they were told something is broken.

Audits took place relating to people’s care planning and safety in the home however, we found the audits completed by the provider had not identified the risks in the environment of the service as identified by the CQC team during the onsite assessment visit. For example, in relation to the unsafe storage of oxygen cylinders and the unsecured sluice room. We found audits of risk assessments had not been effective in identifying shortfalls we found, for example in pressure care management. We found the provider did not have a process in place to record feedback or monitor progress on actions following audits from external stakeholders. For example, following a recent fire safety inspection and a food safety inspection.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.