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Archived: The Old Rectory Inadequate

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Inspection report

Date of Inspection: 6 June 2014
Date of Publication: 18 July 2014
Inspection Report published 18 July 2014 PDF | 81.31 KB

Overview

Inspection carried out on 6 June 2014

During an inspection in response to concerns

The inspection team was made up of two inspectors. We set out to answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with people using the service, the staff supporting them and looking at records. We also had information from our partner agencies including the local authority safeguarding and commissioning teams.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

The service is not safe. People were not safeguarded from the risk of harm and abuse. The provider had not taken reasonable steps to identify the possibility of abuse and prevent it before it occurred. The provider did not always respond appropriately to allegations of abuse.

Safeguarding procedures were not robust and staff did not understand their role in safeguarding the people they supported.

People who use the service were not protected against the risk of unlawful or excessive control or restraint because the provider had not made suitable arrangements.

People could not be confident that they would be safeguarded from the risks posed by staff with criminal records.

Is the service effective?

The service is not effective. People�s health and personal care needs were not always assessed with them, and they were not always involved in writing their care plans. Not all care plans were up to date so did not contain information about people�s current needs.

Some of the care plans had not been reviewed regularly. Care plans were, therefore, not able to support staff consistently to meet people�s needs.

We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to assessing people�s needs and involving people in planning their care.

Is the service caring?

People were supported by kind and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people.

People were at risk of not having their concerns and needs properly taken into account because care plans were not up to date and regularly reviewed.

People�s preferences, interests, aspirations and diverse needs had not always been recorded. Because of this care and support could not always be provided in accordance with people�s wishes and on an individualised basis.

Is the service responsive?

The service was not responsive. Health records were not up date so there was no evidence that the service was responding to people's changing needs.

Raising concerns and complaints was not encouraged and people's views and experiences not taken into account when planning their care.

Is the service well-led?

The service was not well led. There was a lack of audit and monitoring of the service. Care plans had not been audited which meant that the overdue updates had not been noticed.

Events that affected people�s health, welfare and safety had not been reported to the Care Quality Commission (CQC). We have asked the provider to tell us what they are going to do to meet the requirements of the law in relation to reporting incidents that affect people's health welfare and safety to CQC.

The provider had not taken steps to ensure that people received safe and effective care.

None of the staff we spoke with had a good understanding of the whistleblowing policy. There was a lack of an open, inclusive culture.

We found evidence that the provider may be operating an unregistered service which is an offence. We have written to the provider about this and asked the provider to tell us what they are going to do to meet the requirements of the law in relation to operating a service which needs to be registered with CQC.