26, 27 June and 8, 9, 19 July 2013
During an inspection looking at part of the service
Before we completed the report of the inspection we received information that indicated the service remained non-compliant with regulations identified at previous inspections as being non-compliant. The registered manager had submitted action plans to CQC detailing the action she was taking to achieve compliance with these regulations. She told us the service would be compliant with these regulations and essential standards by 30 June 2013.
Because of the nature of the information we had received we extended the inspection. This meant we visited the home on 8 and 9 July 2013 to check the level of compliance against more regulations. We completed the inspection on 19 July 2013 when a specialist pharmacy inspector visited the home to further inspect against the regulation relating to medicine management and administration.
We identified that the registered persons had failed to achieve compliance with all the regulations that were inspected. This included poor care planning, referrals to health care professionals not being made in a timely manner, staffing levels that had an adverse effect on people who used the service, poor recruitment practices, poor infection control management, inadequate record keeping and poor medicine management practices. We saw that people's choices and wishes were not being respected, resulting in inappropriate restrictions and restraint being placed on some people.