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CQC warns Montagu Court Residential Home, Margate that it is failing to protect the safety and welfare of people
28 March 2012
Urgent improvements required at Kent care home.
The Care Quality Commission (CQC) has issued a formal warning to Mr Alan Morris that the provider must make urgent improvements to standards of care provided at a care home in Margate, Kent.
Five warning notices have been issued following an unannounced inspection of Montagu Court Residential Home in February. Amongst the concerns CQC identified were:
Care and welfare of people
- Inspectors found that there was no evidence that people living at the home or their representatives had been involved in care planning.
- Mental capacity assessments and best interest meetings had not always been held before issuing a Do Not Attempt Resuscitation (DNAR) order, although these had been signed by the next of kin.
- Health needs were not always monitored adequately, and care plans were often incomplete.
Respecting and involving people
- Inspectors identified that suitable arrangements had not been made to ensure that the dignity and independence of people living at the home was protected..
- Some people were not being supported to make decisions about their care and treatment, and their views were not always taken into account.
- Inspectors observed care that was focused on the completion of tasks rather than the welfare of the individual being cared for.
Safeguarding people from abuse
- The safeguarding policy was out of date.
- Some staff lacked basic training in safeguarding, infection control, first aid, moving and handling, mental capacity and the giving of medication.
Assessing and monitoring the quality of the service provided
- Inspectors found that shortfalls in care planning which had previously been identified by the management of the home had not been addressed.
Ian Biggs, Deputy Director of CQC in the South, said:
"The standards of quality and safety in care that CQC checks are those that the law says everyone should expect. These standards exist to protect vulnerable people – who cannot always speak up for themselves – from being put at risk of harm.
“Providers have a duty to make sure that the care and treatment they deliver meets the essential standards that everyone is legally entitled to expect. The issues at Montagu Court Residential Home need to be addressed as a matter of urgency.
“Our inspectors will return in the near future to carry out another unannounced inspection. If we find that the home is not making the required progress 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 Mr Alan Morris is in breach of:
- Regulation 9 (1)(a)(b)(i)(ii) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 4) Care and welfare of people
- Regulation 10 (1)(a)(b)(2)(b)(iii)(c)(i)(e) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 16) Assessing and monitoring the quality of service provision
- Regulation 11 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 7) Safeguarding people from abuse
- Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 1) Respecting and involving people
- Regulation 23 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 14) Supporting workers
CQC has issued warning notices requiring the provider to take action to meet the regulatory requirements by 6 April 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.