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CQC warns The Oast, Maidstone, that it is failing to protect the safety and welfare of people
29 February 2012
The Care Quality Commission (CQC) has issued a formal warning to the providers, Mrs Jasiree and Mr Balkissoon Nemchand, that they must make urgent improvements to standards of care provided at a care home in Maidstone, Kent.
Four warning notices have been issued following an unannounced inspection of The Oast in January. These relate to breaches of regulations relating to care and welfare of people, meeting nutritional needs, safety and suitability of premises, and assessing and monitoring the quality of service provision.
Inspectors found that the home was not taking proper steps to ensure that people living there were protected against risks of receiving care and treatment that is inappropriate or unsafe. Care plans and risk assessments were not up to date, and were sometimes found to be contradictory. Inspectors noted a lack of activities available to people in the home, and observed that people were left unsupervised for long periods of time with no mental stimulation.
Inspectors identified concerns that people were not protected from the risks of inadequate nutrition and hydration. The home failed to provide a choice of suitable and nutritious food and drink to people living there in sufficient quantities and choices were very limited. Several people had lost significant amounts of weight, and the provider had not sought advice from healthcare professionals about the diet of people with diabetes.
Inspectors also found that people living at the home were not protected against the risks associated with unsafe or unsuitable premises. Maintenance was not up to date, and parts of the home were in need of urgent improvements. The home had also failed to operate effective systems to assess and monitor the quality of care provided there.
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. This warning sends a clear message that the issues at The Oast need to be addressed as a matter of priority.
“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 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
CQC will publish further details of the inspectors’ findings in a review of compliance on its website at a later date.
The warning notices find that Mrs Jasiree and Mr Balkissoon Nemchand are 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 (a)(b)(i)(iv)(v) (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 14 (1)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 5) Meeting nutritional needs
- Regulation 15 (1)(a)(c)(i)(ii) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 (Outcome 10) Safety and suitability of premises
CQC has issued warning notices which require the provider to take action to meet the regulatory requirements by 1 March 2012. If this is not achieved, 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.