# Morden College

Morden College is a CQC-regulated home-care agency in London.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 20/01/2023

## Practical info

- Postcode: SE3 0PW
- Local authority: Greenwich
- Region: London
- City: London
- Last CQC check: 20/Jan/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The service worked within the principles of the Mental Capacity Act.
  - Published: 2024-04-11
- Finding
  - Evidence: The manager introduced regular team meetings and daily handovers to aid communication.
  - Published: 2024-04-11
- Finding
  - Evidence: The service promoted positive outcomes and wellbeing through community activities and programmes.
  - Published: 2024-04-11
- Finding
  - Evidence: There was a positive, open and empowering culture with people fully involved and consulted about their care.
  - Published: 2024-04-11
- Finding
  - Evidence: Effective infection prevention and control measures were in place with adequate PPE access.
  - Published: 2024-04-11
- Finding
  - Evidence: Staff completed safeguarding adults training and understood signs of abuse and reporting responsibilities.
  - Published: 2024-04-11
- Finding
  - Evidence: There were enough suitably skilled staff to meet people's needs with robust recruitment procedures in place.
  - Published: 2024-04-11
- Finding
  - Evidence: People felt safe using the service and staff knew how to recognise and report concerns or abuse.
  - Published: 2024-04-11
- **care_planning** _(moderate)_
  - Evidence: Risk assessments had not been recently reviewed. The manager showed us their improvement plan which had identified this issue and a full review of risk assessments was underway.
  - Published: 2024-04-11
- **complaints_handling** _(minor)_
  - Evidence: The complaints policy did not explain all the options where to take a complaint externally if someone was not happy with the outcome of a complaint.
  - Published: 2024-04-11
- **leadership** _(moderate)_
  - Evidence: There were some gaps in the manager's awareness of their responsibilities and role. For example, in relation to their awareness of the duty of candour regulation.
  - Published: 2024-04-11
- **record_keeping** _(moderate)_
  - Evidence: Some MAR's were handwritten by staff due to communication problems with a pharmacy. However, there was no check made that the handwritten MAR corresponded accurately with the prescription.
  - Published: 2024-04-11
- **governance** _(moderate)_
  - Evidence: Daily support notes staff made as a record of care were not checked for any issues or concerns. Spot checks were completed but these were not recorded.
  - Published: 2024-04-11
- **governance** _(critical)_
  - Evidence: There were no recorded medicines audits to ensure people received their medicines as prescribed. We found a possible gap in a medicines record which had not been identified.
  - Published: 2024-04-11
- **medication_management** _(moderate)_
  - Evidence: Not all staff had completed a medicines competency assessment to ensure training was embedded and that they had the necessary skills to administer medicines.
  - Published: 2024-04-11
- **medication_management** _(critical)_
  - Evidence: Staff did not always follow best practice guidance...no body maps to guide staff on the administration of these medicines and no medicines administration records (MAR) to confirm administration.
  - Published: 2024-04-11

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2024-04-11
- Finding
  - Staffing and recruitment
  - Published: 2024-04-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-04-11
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-04-11
- Finding
  - Using medicines safely
  - Published: 2024-04-11

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-04-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-04-11
- Finding
  - Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirements
  - Published: 2024-04-11
- Finding
  - Continuous learning and improving care
  - Published: 2024-04-11

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1987060546

HomeCare Compass is an independent guide and is not affiliated with the CQC.