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CQC warns Nellsar Limited that they must make improvements

10 December 2013
  • Media,
  • Care homes without nursing

10 December 2013

When the Care Quality Commission visited Lulworth House Dementia Residential Care Home unannounced on 18 and 19 April 2013, we found that the service was failing to meet the national standards that people should be able to expect.

As a result, CQC has issued a/formal warning/s to Nellsar Limited:

Care and welfare of people who use services

Proper steps were not taken to to ensure that people were protected against the risks of receiving care that was inappropriate or unsafe by means of assessing, planning and delivering of care to ensure that people's needs were met and their welfare and safety ensured. Regulation 9(1)(a)(b)(i)(ii)

Safeguarding people who use services from abuse

Suitable arrangements had not been made to ensure that people were safeguarded against the risk of abuse by means of taking reasonable steps to identify the possibility of abuse and prevent it before it occurred and responding appropriately to any allegation of abuse. Regulation 11(1)(a)(b)

Management of medicines

People were not protected against the risks associated with the unsafe use and management of medicines, by means of the making of appropriate arrangements fir the obtaining, recording, handling, using, safekeeping, dispensing, safe administration of medicines. Regulation 13

Assessing and monitoring the quality of service provision

People were not protected against the risks of inappropriate or unsafe care and treatment by the means of an effective operation of systems to regulalry assess and monitor the quality of the service provided, assess and manage risks relating to the safety of people and make changes to the treatment or care provided. Regulation 10(1)(a)(b) (2)(c)(i)(d)(i)


People were not protected against the risks of unsafe or inappropriate care and treatment because there was a lack of proper information about them by the the means of maintaining accurate records in relation to the care and treatment of each person and the management of the regulated activity. Regulation 20 (1)(a)(b)(ii)

CQC inspectors will return unannounced in due course to check whether the required improvements have been made. For more details of the findings from the inspection in April 2013. Read the full report here.

If the required improvements are not made within the set timescale, 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 national standards.