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CQC warns Oakcroft Nursing Home that it is failing to protect the safety and welfare of people
24 October 2012
Urgent improvements required at nursing home in Catford, south east London.
The Care Quality Commission (CQC) has issued a formal warning to the provider J Moore that he must make urgent improvements at a nursing home in Catford, south east London.
Three warning notices were issued following an unannounced inspection of Oakhurst Nursing Home, in Culverley Road, in July.
Inspectors found that:
- People living in the home were not being given a choice about what they ate. On the day of the inspection, a second meal option was only added to the menu when inspectors raised concerns about the lack of choice of food. This second option (roast beef in place of roast lamb) was prepared, but people were not advised that there was an alternative meal or given a choice. A member of staff told inspectors that a choice was only offered on Christmas Day, and the manager said that offering a choice of meals in the past had led to money being wasted when people changed their minds. Menus showed that the meals offered were repetitive and lacked variety. People were not routinely being consulted on the menu provided.
- People living in the home were not having their privacy and dignity respected. Seating arrangements in the communal lounge were cramped, and people had to be moved specifically in order to allow others to be moved. People were not being treated with consideration and respect; a person was seen left sitting on a toilet with the door open, and some staff spoke disrespectfully about people living in the home. Individual care preferences were not recorded in care plans, and inspectors observed that people’s wishes were not always respected.
- Staff spoken with could not provide an appropriate response when asked how they would deal with a safeguarding concern such as suspected abuse. The home did not have any written safeguarding procedures in place in order to guide staff if such concerns were raised.
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.
“People are entitled to be treated with dignity and respect, to be given a choice of food that they want to eat, and to be protected adequately from the risk of abuse. The issues identified at Oakhurst were in need of immediate attention.
“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.”
This inspection took place as part of a national programme looking at dignity and nutrition for older people living in care homes. A full report on the national inspection programme will be published in due course.
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 notice finds that J Moore is in breach of:
Regulation 11(1)(a)(b) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 7) Safeguarding people from abuse.
- Regulation 14(1)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 5) Meeting nutritional needs.
- Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 1) Respecting and involving people.
The provider was given a tight deadline within which to comply with the warning notices. CQC will return to the home unannounced in due course to ensure that this has happened.
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.