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Innisfree Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 April 2020

About the service: Innisfree residential home is a residential care home providing personal care to 16 people aged 65 and over at the time of the inspection. The service can support up to 28 people.

People's experience of using this service: People and relatives told us that staff were caring and kind.

The provider and senior staff had completed audits on the home to support quality checks. However, these checks had not identified and prevented shortfalls in the quality of service provision.

The provider had failed to notify the commission of statutorily notifiable events.

There were not enough staff to meet peoples' needs; this had affected the quality of service provision. Staff training was provided and included some training specific to people's needs. Staff recruitment procedures were followed appropriately. Staff had received supervision but not as often as required.

Care plans were not consistently person centred and there was a lack of detailed guidance within peoples' risk assessments for staff to follow.

Medicines were stored safely. Improvements were required in relation to medicine administration and documentation. People had not always attended their medical appointments. Health outcomes and requirements from appointments were not recorded in a structured way.

The service did not provide people with regular access to the local community and activities were lacking for people that did not partake in group activities.

People were not supported to have maximum choice and control of their lives. People’s mental capacity and best interests had not been considered and documented in line with the Mental capacity Act.

People were supported for by a staff team who were kind and caring. Staff had good relationships with people.

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

Rating at last inspection and update: The last rating for this service was Good (published 8 March 2017).

Why we inspected: This inspection was scheduled based on the previous rating.

Enforcement: We have identified five breaches in relation to person centred care, governance, risk assessments and medicine management, staffing, and mental capacity and consent at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up: We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 17 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 17 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 April 2020

The service was not always well-led.

Details are in our well-Led findings below.