Archived: Quarry Bank Residential Home

Updated 19 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

Two inspectors conducted the first and second day of the inspection. On the third day there was one inspector.

Service and service type:

Quarry Bank Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

It is a condition of the provider’s registration that they have a manager registered with CQC. There was no registered manager at the time of our inspection. The registered manager had left the service following a period of absence and a senior member of staff had been promoted to manager. The provider informed us this person would be applying to become the registered manager. Within this report they will be referred to as the manager.

Notice of inspection:

This inspection was unannounced.

What we did:

Prior to the inspection we reviewed any notifications we had received from the service. A notification is information about important events which the service is required to tell us about by law. We also reviewed any information about the service that we had received from external agencies. We used this information to help us plan our inspection.

During the inspection we spoke with two people who lived at the service, two visitors, three care staff, the chef, the manager and the provider. We spoke with one visiting professional. We completed a tour of the environment. We observed how staff interacted with people who used the service throughout the day and at meal times. We used our Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people's care records in full, containing care planning documentation and daily records. We looked at records for two staff members, relating to their recruitment, supervision and appraisal. We viewed records relating to the management of the service, including any audit checks, surveys and the provider's policies and procedures.

Updated 19 March 2019

About the service: Quarry Bank Residential Home offers accommodation and care support for up to 23 older people and people with a dementia related condition. At the time of the inspection there were 17 people using the service.

People’s experience of using this service:

People did not receive a service that provided them with safe, effective, compassionate and high-quality care. Care and support was not tailored to meet people’s specific needs.

Risk management was ineffective and placed people at risk of harm. Staff were not recruited safely or trained appropriately.

People’s human rights were not always upheld as the principles of the Mental Capacity Act 2005 were not adhered to. People were not empowered to make choices and have control over their care. People were not provided with support that was personalised to them. Staff did not always gain consent from people before delivering support and people’s privacy and dignity was not always upheld.

The service was not well led and there was an ineffective quality assurance system in place. During this inspection we found multiple failings at the service and risks to people had not been mitigated. We identified eight breaches of regulation. Seven of these were persistent breaches which were found at the last two inspections, which demonstrates learning and improvement had not taken place.

Rating at last inspection: The service was last rated as Inadequate (published 7 November 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: At the last inspection the service was rated ‘Inadequate.’ At this inspection the rating remained the same. Therefore, the service remains in ‘special measures.’ Services in special measures will be kept under review and, if we have not already taken immediate action to propose to cancel the provider’s registration of the service, it will be inspected again within six months.

Enforcement: We issued a notice of decision to cancel registration and the service is now closed.

Full information about CQC’s regulatory response can be found at the back of this report.