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CQC warns Elmridge Nursing Home that it is failing to protect the safety and welfare of people
2 August 2012
Regulator demands immediate improvement at Cleveland nursing home.
The Care Quality Commission has issued a formal warning to Bupa Care Homes (GL) Limited, registered provider of Elmridge Nursing Home, Coulby Newham, Middlesbrough in Cleveland stating that they must make urgent improvements to standards of care or face further action.
The warning follows an unannounced visit by inspectors to the home on 3 July 2012 in response to concerns raised by the local authority safeguarding team.
Visiting inspectors reviewed a sample of care records, carried out observations on all four of the home’s units, and spoke to several members of staff.
CQC found that the provider was failing to comply with national standards concerning the care and welfare of people living in the home.
- Care plans and risk assessments did not always reflect people’s needs, placing people at risk of insufficient care and treatment.
- Staff were not carrying out appropriate assessments of people’s needs. This was particularly evident in relation to residents demonstrating challenging behaviours.
- Individual care plans lacked information regarding residents’ preferred interests or the specific activities they enjoyed as meaningful occupation.
- Staff failed to support residents on making their own choices as to how they spent their time such, for example what they watched on television.
- The majority of people living at Elmridge experienced marked difficulties in communicating verbally. Inspectors were concerned that staff had limited engagement with residents and were not equipped with the skills to communicate effectively with the people in their care.
- Staff were observed infantilising residents and failing to recognise the need to interact in an age appropriate manner.
- Inspectors were informed by a senior member of staff that all people living in the home lacked the capacity to make their own decisions, yet none of the care files CQC examined indicated that this had been formally assessed. As a result, staff were making decisions for residents without there being a legal basis to do so.
Malcolm Bower-Brown, Deputy Director of Operations for CQC in the North, said:
"The law says that these are the standards that everyone should be able to expect. Providers have a duty to ensure that they are compliant.
“This warning sends a clear and public message that Bupa Care Homes (GL) Limited needs to address this issue as a matter of urgency or face serious consequences.
“Our inspectors will return to Elmridge Nursing Home in the near future and if we find that the provider is not making the required progress we won’t hesitate to use our legal powers to protect the people who live there.”
Elmridge Nursing Home is registered to provide nursing care for up to 42 people who have learning disabilities.
For further information please contact the CQC Regional Communications Team, David Fryer 07901 514 220 or Kirstin Hannaford 0191 233 3629.
The CQC press office can be contacted on 0207 448 9401 or out of hours on 07917 232 143.
Notes to editors
CQC will publish further details of the inspectors’ findings in a review of compliance on its website at a later date.
CQC has issued a warning notice to Bupa care Homes (GL) Limitedrequiring action to meet:
- Regulation 9 Health and Social Care Act (Regulated Activities) Regulations 2010, (outcome 4) care and welfare of service users
A deadline of 15 October 2012 has been given for improvement. If this deadline is not met, 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.