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Archived: Autumn House Nursing Home Inadequate

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 20 June 2017

This inspection took place on 19 April 2017 and was unannounced. At our previous three inspections we had found that care was not always safe, effective, caring, responsive or well led. At our last two inspections we had rated the service as Inadequate, placed it into special measures and begun enforcement action against the provider. At this inspection we found some improvements had been made however we remain concerned about the overall management of the service and the lack of continuous improvement. We found that the provider was still in breach of three Regulations of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The overall rating for this service is inadequate and it will remain special measures.

Services in special measures will be kept under review and the expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe. If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration. For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Autumn House Nursing home is a home providing accommodation, personal and nursing care for up to 67 people. At the time of the inspection 45 people were using the service. The service was in administration.

There was a manager in post who was in the process of registering with us. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

The systems the provider had in place to monitor and improve the service had not been fully effective in making the required improvements. Lessons had not been learned following incidents with the deployment of agency staff. People's medicines were still not being managed safely. People did not always receive their medicines at the required times.

There were insufficient numbers of suitably trained effective staff to safely meet the needs of people who used the service. Risks of harm to people were not always minimised. Action was not always taken following incidents that put people at risk and staff did not always know or follow people's risk assessments.

People were supported to eat and drink sufficient amounts to remain healthy, however people complained about the quality of food available.

People were supported to seek advice from health care professionals when they became unwell or their needs changed. However the appropriate health care support was not always sought in a timely manner.

People were not always treated with dignity and respect and their right to privacy was not always upheld. People did not always receive care that met their individual needs and preferences due to a lack of available, effective

Inspection areas

Safe

Inadequate

Updated 20 June 2017

The service was not safe.

There were insufficient suitably trained staff deployed safely to meet the needs of people.

People's medicines were not managed safely and people were at risk of harm due to not having their medicines as prescribed.

Risks of harm were assessed however action was not always taken to minimise the risks and keep people safe.

Incidents of suspected abuse were reported to the local authority for further investigation.

Effective

Requires improvement

Updated 20 June 2017

The service was not consistently effective.

People were not always receiving care from staff who were effective in their role due to an increased use of agency staff who were not aware of peoples individual care and support needs.

Most people received health care support when they became unwell and attended appointments when required.

People were supported to eat and drink sufficient amounts to remain healthy. However people complained about the quality of the food they were offered.

The principles of the Mental Capacity Act 2005 were being followed to ensure that people were consenting or being supported to consent to their care when they lacked mental capacity.

Caring

Requires improvement

Updated 20 June 2017

The service was not consistently caring.

People were not always treated with dignity and respect.

People's right to privacy was not always upheld.

People were able to be as independent as they were able to be and were involved in meetings concerning the running of the service.

Responsive

Requires improvement

Updated 20 June 2017

The service was not consistently responsive.

People did not always receive personalised care that met their individual needs.

People and their relatives knew how to complain, however action was not always taken to satisfy people's complaints.

There was a range of hobbies and entertainment for people to participate in if they chose to.

Well-led

Inadequate

Updated 20 June 2017

The service was not well led.

The systems the provider had in place had not been effective in ensuring that improvements in the quality of the service were made and to ensure that the Regulations were being met.

Action was not always taken to reduce the risk of incidents and accidents occurring again.

People who used the service and their relatives expressed concerns over the frequent change of manager and the use of agency staff.