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CQC warns Adiemus Care Ltd that it is failing to protect the safety and welfare of people
26 September 2012
Urgent improvements required at Lauriston House, Bromley, south east London.
The Care Quality Commission (CQC) has issued a formal warning to Adiemus Care Ltd that they must make urgent improvements at a nursing home in Bromley, south east London.
Seven warning notices have been issued following an unannounced inspection of Lauriston House, in Bickley Park Road, in August after concerns were raised about the welfare of people living at the home.
Inspectors found that:
- Care in the home did not always meet people’s needs. A number of call bells did not work on the day of the inspection, which meant people would not always be able to alert staff in an emergency. A lack of activities were taking place in the home, and staff were unable to locate emergency equipment when asked to do so by inspectors.
- Staff had not received up to date training to support them in identifying preventing abuse, or in restraint (although the home’s policy stated that this could be used in some circumstances). Policies on safeguarding and whistleblowing were incomplete. This put people at risk of abuse.
- Suitable arrangements were not in place to obtain consent from people living in the home. Decisions about Do Not Attempt Resuscitation (DNAR) orders had been made without evidence of regard to mental capacity or the wishes of the person concerned.
- Personal records were not always accurate, complete, or up to date. Records were not always securely stored, and inspectors were told that some records had gone missing shortly before the inspection took place.
- The home was failing to ensure that enough staff were on duty at all times to meet the individual care needs of people living in the home, especially at night.
- Adequate training and support was not being provided to staff. The home was failing to follow its own policies on training and professional supervision. There were significant staff training gaps in areas such as infection control, manual handling, food hygiene and emergency first aid.
More details of CQC’s findings can be found in the latest inspection report on the home on the Lauriston House page.
Matthew Trainer, Deputy Director of CQC in London, said:
“We check the standards of quality and safety in care that the law says everyone should be able to expect. These standards exist to protect people who cannot always speak up for themselves from being put at risk of harm. Providers have a duty to be compliant.
“Our inspectors identified a number of very serious failings across the board at Lauriston House. These cannot be allowed to continue, and require immediate attention by the provider. CQC are in close contact with the London Borough of Bromley, the lead authority on safeguarding people locally, to make sure that the welfare of people in the home is protected while the provider makes the necessary improvements.
“Our inspectors will return in the near future to carry out another inspection. If we find that the home is not making the required progress, quickly, we won’t hesitate to use our legal powers further to protect the people who live there.”
For further information please contact the CQC press office on 0207 448 9239 or out of hours on 07917 232143.
Notes to editors
The warning notices find that Adiemus Care Ltd is in breach of:
- Regulation 9 (1)(a)(b)(i)(ii) (2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 4) Care and welfare of people.
- Regulation 10(1)(b) (2)(b)(iii)(c)(i) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 16) Assessing and monitoring the quality of service provision.
- Regulation 11 (1)(a)(b) (2)(a)(b) (3)(a)(b)(c)(d) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 7) Safeguarding people.
- Regulation 18 (1)(a)(b)(2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 2) Consent to care and treatment.
- Regulation 20 (1)(a)(b)(i)(ii) (2)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 21) Records.
- Regulation 22 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 13) Staffing.
- Regulation 23 (1)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 14) Supporting staff.
If the required improvements are not made by 24 September 2012, CQC has a range of enforcement powers which include restricting the services that a provider can offer, or, in the most serious cases, suspending or cancelling a service. CQC can also issue financial penalty notices and cautions or prosecute the provider for failing to meet essential standards. Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.