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Littleover Nursing Home Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 January 2021

About the service

Littleover Nursing Home accommodates 40 people, providing long-term, respite care and palliative care. The home is over two floors, with bedrooms on both floors. There were 25 people living at the service at the time of our inspection visit. Littleover Nursing Home is situated in a residential area in the Littleover area of Derby.

People's experience of using this service and what we found

People were not always protected against the spread of infection. Staff were not always following infection control policies and procedures. Governance arrangements did not provide assurance that the service was consistently well-led.

People were not always protected from risks; individual risks associated with people’s needs were not always assessed and planned for.

Staffing levels were not always adequate. Relatives and staff told us the staffing levels were not always sufficient. The staff rota confirmed staffing levels identified by the provider as required had not been sufficiently maintained and put people at potential risk of harm.

Recruitment practices in place showed appropriate checks were completed before staff commenced employment.

People told us they liked the staff and felt safe with them and were happy at the service. Relatives told us they had been able to visit their family members during the lockdown.

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

Rating at last inspection

The last rating for this service was Good (published 29 May 2019).

Why we inspected

We received concerns in relation to staffing levels and the overall management of the home. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. The ratings from the previous comprehensive inspection for those key questions, not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

We discussed the shortfalls in regulation with the provider and they took immediate action to mitigate the risks identified.

Inspection areas

Safe

Requires improvement

Updated 22 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 January 2021

Caring

Requires improvement

Updated 22 January 2021

Responsive

Good

Updated 22 January 2021

Well-led

Requires improvement

Updated 22 January 2021

The service was not always well-led.

Details are in our well-Led findings below.