Table of Content
The provider had asked for feedback of the service from people and relatives. There was no evidence that the comments made had been listened to and actioned. During this inspection we found three breaches of the Health and Social Care Act Regulations. You can see what action we told the provider to take at the back of the full version of this report.
During this inspection we found one breach of the Health and Social Care Act Regulations. The provider had displayed the ratings from the last inspection, in February 2018, in a prominent place so that people and their visitors were able to see them. At the last inspection, we found the support of people’s rights within the basic principles of the Mental Capacity Act 2005 needed to be improved.
Other Care Homes You Might Like
When a complaint had been received, the provider had investigated and responded to the complainant in line with their policy. The Care Quality Commission is the official regulator for the care sector. They inspect care homes and care services to make sure they are safe, caring, effective, responsive and well-led. Autumna is the UK's largest and most comprehensive later-life living & elderly care directory. Our website is free to use, we are proudly independent, and we never take referral fees. The provider sent the CQC an action plan which described how and when the improvements would be made.
However, people we spoke with told us they were not involved in their care planning. Two relatives told us they had not been asked for their views concerning what should be included in the care plan for their family member. We were told there was no service user guide in place or information that was given to people when they moved into the home.
Dale Lodge
People waited too long for care they needed at lunchtime due to the level of staffing. People were not fully protected from the risk of abuse because staff did not have access to information they could refer to. There were assessments undertaken on admission and the care plans had been developed and drawn up with the individual, where possible, and their family had been consulted on aspects of the care plan. This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action.
They wrote to us on 18 December 2013 and stated that all records apart from staff files were kept in the nurse's office. However, during our inspection of 22 April 2014 we found that a number of records could not be located promptly as the provider unavailable. Staff had a safeguarding procedure to access the information they needed to protect people and raise concerns. A copy of the local authority procedure with their full guidance for reporting concerns was kept in the home, however, it was an old copy with the wrong information available. The provider had not displayed the ratings of the previous inspection in a prominent place as required by the regulations. New staff had not had the appropriate checks made of their suitability to care for and support the people living in the home.
Reviews
The care home caters for younger and elderly adults with sensory impairment. The nursing home also cares for residents with dementia and mental health conditions. The provider and registered manager sent action plans dated 27 April 2018 stating they had already made the improvements to make sure regulations 12 and 19 were met. At this inspection, the provider and registered manager had made improvements in most areas. People’s prescribed medicines were now being managed and administered safely.
People’s interests were taken into account and catered for on an individual basis. During this inspection, people were not left unattended for long periods of time. People were supported to maintain their independence to help to keep them active.
We have identified this as an area of practice that needs improvement and have made a recommendation about the monitoring and oversight of air mattresses. The premises were clean and suitably maintained and equipment and utilities had been serviced. However, fire evacuation guidance did not give the specific information required to keep people safe.
However the registered manager has failed to notify CQC of the authorisations. Staff had completed training in the Mental Capacity Act 2005 but there was no evidence that this training had been embedded in every day practice of caring for people. Staff had not received training in Deprivation of Liberty Safeguards . Staff were receiving supervision but not in line with the provider’s policy.
They confirmed that they had a choice of food for all meals. We found that records were not accessible and that we could not check to see if the registered person was managing the delivery of the regulated activity safely. There were ‘residents meetings’ held which all people were encouraged to attend.People had been consulted about recent redecoration works and chosen colours.
The manager said the home was looking to recruit an activities coordinator, but nothing had been put in place. At other times we offer an answer phone service so please leave a message and we'll call you back. There is chicken casserole and mash, or cheese omelette and chips today”.
There was no oversight of what training needed to be completed and when it should be completed. We looked at care plans and found that these contained information staff would need to know to be able to support a person’s needs. People had personal evacuation plans and staff had received fire training and knew how to support people to evacuate the building in an emergency. At the last inspection we found breaches of Regulations 12, 18 and 19 of the Health and Social Care Act Regulations 2014. We set out to answer our five questions; Is the service caring? The summary is based on our observations during the inspection, discussions with people using the service, their relatives, the staff supporting them and looking at records.
The provider had notified CQC of important events as required. The improvements related to Regulation 16 of the Health and Social Care Act Regulations 2014 and Regulation 18 of the Care Quality Commission Regulations 2009. However many improvements had not been made and we found continuing breaches of regulations from the last inspection. These related to Regulation 9, 11, 12, 17 and 18 of the Health and Social Care Act Regulations 2014. The inspection was unannounced.Ashley Down Nursing Home is a ‘care home’. There were 13 people living at the service at the time of our inspection.
This meant that people had not been consulted and their views had not been taken into account concerning how they wanted their care delivered. We have asked the provider to tell us what improvements they will make to ensure people are involved in their care. People’s care plans were suitable for their personal care and nursing needs. However, care plans were not person centred and there was no focus on people’s well-being, social and cultural needs based on their preferences and interests. People and their relatives were not involved in reviewing their care plans. Risk assessments around people’s personal and nursing care needs were in place.
No comments:
Post a Comment