• Care Home
  • Care home

Moormead Care Home

Overall: Good read more about inspection ratings

67 Moormead Road, Wroughton, Swindon, Wiltshire, SN4 9BU (01793) 814259

Provided and run by:
Fidelity Healthcare Moormead Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Date of Assessment: 26 February to 18 March 2026.

Moormead Care home is registered to provide care and support for up to 21 people. The service provides residential and nursing care for older people, some of whom are living with dementia. This assessment was carried out to check whether conditions issued at our last assessment in July 2025 had been met. The service has been without a registered manager since July 2024. The nominated individual (NI) carried out day to day management responsibilities. They were supported by a registered manager from another service managed by the provider.

A new manager had been appointed prior to this assessment. They were in the process of registering with the Care Quality Commission (CQC) to become the service’s registered manager.

We found the provider had made some improvements to care planning information, management of incidents and management of medicines. Although guidance on supporting people to manage risks related to ulcers and choking was clearer, some care planning documents still contained inconsistencies, and some risk assessments did not always include detail. However, we found no evidence that anyone using the service had come to harm as a result.

Medicines were now stored safely, and risks had been assessed in relation toblood thinning medications.

Accidents and incidents were now followed up appropriately and action taken to reduce risk. Staff were now reporting incidents when they happened.

Staff felt more confident about the leadership in the service. Staff supervisions and staff meetings were happening frequently, and staff were given opportunities to feed back to leaders. Morale had improved amongst the staff, staff confirmed they worked well as a team. Nurses had not had clinical supervisions to support their role and professional practices. However, nursing staff confirmed relevant health professionals were contacted for advice around people’s health needs. Leaders were now regularly seeking feedback from people and staff to identify areas to improve.

Health professionals spoke positively about the leadership and culture of the service. One professional who visited the service regularly told us; staff were kind and managed a range of needs well- including dementia and nursing care. They reported having, “not an ounce of worry” about the service. Another regular health care provider reported no concerns about the care or

about the way people were treated. They confirmed they had not needed to raise any safeguarding issues and that staff were responsive and knowledgeable about people’s needs.

The provider had previously been in breach of the legal regulations relating to safe care and treatment, good governance and staffing. During this assessment, we found that improvements had been made. Although some areas still require further improvement, the provider was no longer in breach of these regulations. This service has been in Special Measures since 10 July 2025. The provider demonstrated improvements that have been made. The service is no longer in Special Measures.

During an assessment under our new approach

Date of Inspection: 3 February to 4 March 2025. The inspection was to follow up on whether Warning Notices in relation to Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 issued at our last inspection in 2024 had been met, and to undertake a full inspection of the service under its current provider who took over in November 2023. The service has not had a registered manager in post since July 2024. The Nominated Individual (NI) was overseeing the management of the service and was responsible for supervising the management of the regulated activities provided.

The provider continued to not have effective governance systems in place to monitor and improve the quality of the service. Care planning information did not always include clear guidance around how people needed to be supported to manage risks around pressure ulcers and choking. Medicines were not always stored safely, and risks had not always been assessed in relation to blood thinning medications. Audits did take place regularly in the service; however, they continued to not be effective and had not identified the concerns we found at this inspection.

The NI had not always reported or followed up accidents and incidents with the appropriate authorities. Staff did not always report incidents that had happened to them. However, staff adjusted people’s care plans following incidents to reduce the risk of reoccurrence for people.

Staff felt there was no leadership and direction in the service. Some staff had not received supervision and told us staff meetings had not taken place regularly since July 2024.Following our inspection, the provider supplied us with evidence of meetings which had been held in August and September 2024 and January and February 2025. Morale appeared to be low for some staff members, however, staff confirmed they worked well as a team. Nurses had not had clinical supervisions to support their role and professional practices. However, staff confirmed relevant health professionals were contacted for advice around people’s health needs. The NI did not routinely seek feedback from people and staff to identify areas to improve.

The provider was previously in breach of the legal regulations in relation to safe care and treatment, good governance and staffing. Improvements were not found at this assessment, and the provider remained in breach of these regulations. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a time frame within which providers must improve the quality of the care they provide.

During an assessment under our new approach

Date of assessment 16 May to 09 July 2024 .

This assessment was carried out to follow up on concerns raised around pressure ulcer management, person centred care, safe and effective staff, and safe environment.

Overall, we looked at 9 quality statements in Safe, Effective, Caring and Well Led. We have not previously rated this service under its current provider. This assessment did not cover all parts of our Single Assessment Framework, therefore we have only updated scores and ratings for those areas which we have assessed.

During this assessment we found 3 breaches of the legal regulations in relation to safe care and treatment, good governance and safe and effective staffing. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

We carried out on-site visits and also reviewed documents off-site. On the day of our on-site visit, 21 people were being supported.

Care planning and risk assessments did not always include sufficient detail to help staff understand how people need to be supported to manage their health care needs.

Staffing levels did not always meet people’s needs. Staff were not always available in communal areas in line with people’s falls risk assessments and people we spoke with felt staff were sometimes rushed. Staff training records did not reflect staff training and competency checks around dysphagia and dementia. We have asked the provider for an action plan around this.

We observed staff offering people choices and promoting people's independence. However, we found assessments of people’s capacity had not always been carried out appropriately to assess whether people could make decisions about their care.

The provider had not established effective governance systems to monitor, evaluate and improve quality and safety of the the service external audits and feedback from others.