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Archived: Bindon Residential Home Inadequate

We are carrying out a review of quality at Bindon Residential Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 23 March 2019

About the service:

Bindon Residential Home provides accommodation for up to 42 people. The service provides care for older people; most of whom are living with dementia. The home is separated into two different areas called Bindon and Elmcroft. At the time of our visit 33 people were living at the service.

People’s experience of using this service:

• Systems and processes to monitor the service were not effective, did not drive improvement and the provider had poor oversight and had not identified this. As a result, the quality of care provided to people had deteriorated since the last inspection.

• People’s health, safety and welfare were put at risk because there were not always sufficient numbers of suitably qualified, skilled and experienced staff on duty.

• The provider had not ensured staff were suitably trained and sufficiently supervised. As a result, the staff team did not have the skills to support people effectively and people had been exposed to the risk of harm.

• The service was not safe because people were not always protected against the risks associated with medicines.

• People’s nutritional needs were not always identified and monitored. Nutritional care plans lacked detail or clear instructions for staff about how to support people in relation to eating and drinking, especially where they were at risk of weight loss. Records relating to people’s daily dietary and fluid intake were poor. This meant we could not tell in any detail what people had to eat each day

• People were at risk because accurate records were not consistently maintained. There were gaps in people’s repositioning and personal care records. We could not be assured people’s care needs were being met consistently.

• Care records did not always reflect the needs and preference of people using the service. They were contradictory in places. The lack of detailed and accurate care plans meant care and support may not be given effectively. Visiting healthcare professionals shared similar concerns.

• There was a lack of stimulation for people using the service. Several people said they would like to see improvements in this area. Very few activities were offered and those that were did not always take into account individual interests and preferences or consider individual’s abilities.

• Some equipment and aspects of the premises were not clean. Poor infection control standards were found throughout the service.

• Some environmental risk had not been identified.

• We saw positive interactions during the inspection, with staff being kind, friendly and patient when assisting people.

• People enjoyed the meals provided.

Rating at last inspection:

At the last inspection the service was rated as requires improvement (February 2018). The service had been rated as requires improvement for a third consecutive time. At this inspection we found the service had deteriorated and is rated as inadequate overall.

Following the last inspection, asked the provider to complete an action plan to show what they would do and by when to improve the key questions of safe and well-led to at least good. We also met with the provider to confirm they were following their action plan to ensure improvements were made.

Why we inspected:

We brought this comprehensive inspection forward as we had received concerns from a variety of sources that included community health and social care professionals, anonymous whistle blowers and family members. Concerns included poor staffing levels, poor standards of personal care, poor management of risks, unsafe staff recruitment practices, poor standards of cleanliness and a lack of stimulation and occupation for people. As a result of the mounting concerns, Devon County Council implemented a whole service safeguarding process in January 2019. There were also several individual safeguarding investigations in progress. Placements to the service have been suspended by Devon County Council because of the safeguarding conce

Inspection areas

Safe

Inadequate

Updated 23 March 2019

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 23 March 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 23 March 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 23 March 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 23 March 2019

The service was not well-led.

Details are in our Well-Led findings below.