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Washington Manor Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 May 2019

About the service: Washington Manor Care Home provides accommodation and personal care for up to 68 people, including people living with a dementia. At the time of the inspection 64 people were using the service.

People’s experience of using this service: Medicines were not managed safely. Risks were not always identified. Information from accidents and incidents was not carried through into people’s care records to support staff to reduce the risk.

The service did not effectively support people with the risks associated with malnutrition and hydration. Some people were not receiving supplements to their diets as directed by a healthcare professional. Recording was poor and we could not establish if people had received adequate fluids.

Pre-assessments were not always completed and did not cover all the protected characteristics of the Equality Act. Care records were not always accurate or up to date. The service failed to adhere to the Mental Capacity Act 2005 (MCA), mental capacity assessments and best interest decisions were not in place.

Some staff did not have all the appropriate training to support people safely.

Management checks were not robust and when audits found issues the service was slow to make things right. People’s information was not held securely. Record keeping throughout the service was chaotic. Documentation was not fully completed, contained inaccurate information and in some cases, was missing.

People and relatives told us staff were kind and caring. We observed staff were very busy supporting people and had limited time to sit and chat with people. Staff were keen to do the right thing and determined to provide great care and support for people.

A range of group activities were available for people to enjoy. Although there were limited options for men and for people on bed rest.

The provider set about resolving issues we identified following the first day of inspection, creating an action plan and placing additional staff to support the home.

Rating at last inspection: At the last inspection the service was rated good. (Report published 2 August 2018).

Why we inspected: This inspection was brought forward following concerns raised to us. These included concerns around staffing, provision of care and hygiene, nutrition and hydration. We also shared these concerns with local authority safeguarding and commissioning teams.

Enforcement: We identified 5 breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 including safe care and treatment, need for consent, nutrition and hydration, person-centred care and good governance.

Follow up: We will continue to monitor the service and will undertake another comprehensive inspection within six months.

During the inspection the provider submitted an action plan in response to the serious concerns letter we sent to them and has started to address issues identified.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 3 May 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Inadequate

Updated 3 May 2019

The service was not effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 3 May 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 3 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 3 May 2019

The service was not always well-led.

Details are in our Well-Led findings below.