3 December 2020
During an inspection looking at part of the service
Moorings Nursing Home is registered to provide care and accommodation with nursing care for up to 39 people some of whom may be living with dementia and/or mental health conditions. When we inspected there were 17 people living in the service.
People’s experience of using this service and what we found
During the inspection we identified serious concerns about Infection Prevention and Control (IPC). This included concerns about the cleanliness of the service and poor practice in the use of Personal Protective Equipment (PPE), which placed people at the risk of infection. We met with the provider setting out the urgent nature of our concerns and asked them how they would address this.
The service had a manager registered with the Care Quality Commission at the time of inspection, however they had not been in charge of the day to day running of the service and failed to have oversight.
We found the provider’s governance and oversight system were not robust and did not identify areas of concern in order to effectively mitigate the risks identified on inspection.
The provider failed to act where harm had been identified, to keep people safe. This included failing to raise safeguarding referrals with the local authority. The service had also failed to notify the CQC of safeguarding concerns, which is a legal obligation for providers so CQC can monitor the safety and quality of care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 30 November 2017).
Why we inspected
We received concerns in relation to infection prevention and control. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Good to Inadequate. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified breaches in relation to infection prevention control, the environment and good governance of the service
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it, and it is no longer rated as inadequate for any of the five key questions, it will no longer be in special measures.