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Stretton Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 November 2019

About the service

Stretton Nursing Home accommodates up to 50 people within a large adapted building, and specialises in

care for older people with physical disabilities and sensory impairments, who may be living with dementia.

At the time of our inspection, 36 people were living at the nursing home.

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

The provider failed to meet regulations to ensure people were safe and had their needs met. Systems to ensure people were safeguarded from abuse had not been addressed by the provider. People were at risk of harm, systems to protect people were not always followed and were ineffective at identifying and managing these risks. People did not always receive their medicines safely and the guidance for their clinical needs was not always clear for staff. There were not always sufficient staff to ensure people received the support they needed in a timely way.

The management overview needed to be improved to ensure the principles of Mental Capacity Act (2005) were complied with, and staff knowledge and understanding improved. The new manager was ensuring staff updated their skills. People were supported to access the health care they needed. People had a nutritious diet, and they enjoyed the food offered. People had their needs assessed and the environment was adapted to meet their needs.

People and their relatives said they were supported by kind and caring staff. However, the provider did not always show compassion for people by ensuring there were sufficient staff to meet people’s choices about when they received their support. Staff were kind to people, however people’s privacy was not always upheld because staff did not always follow best practice.

The new manager was updating records to provide personalised guidance for staff to ensure people received person centred care. People had access to interesting things to do. The management team were recruiting for extra staff to improve people’s well-being. People’s end of life plans needed additional information to ensure they were up to date. Complaints were investigated, and outcomes actioned.

The service was not well led. The provider continued to not have effective governance systems in place to identify shortfalls in the quality and safety of the service for the third inspection in three years. The provider’s governance systems had failed to ensure people were protected from the risk of harm, and that agreed safety measures were put in place. Systems to provide an overview of clinical governance were not effective because staff were not given time to complete checks. Actions identified were not consistently addressed, therefore there was a lack of continuous learning and improving people’s safety and outcomes.

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 requires improvement (published 16 October 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made or sustained and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to people’s safety in protecting them from avoidable harm and to the quality and governance systems in place at this inspection. We found the provider remained in breach of Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider fol

Inspection areas

Safe

Requires improvement

Updated 19 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 19 November 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 19 November 2019

The service was not well-led.

Details are in our well-Led findings below.