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Archived: Lelant Nursing Home Outstanding

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Inspection report

Date of Inspection: 17 May 2012
Date of Publication: 31 July 2012
Inspection Report published 31 July 2012 PDF | 64.89 KB

Overview

Inspection carried out on 17 May 2012

During an inspection in response to concerns

We carried out an inspection on 17 May 2012 in response to concerns raised by a relative of a person living at Lelant concerned about their care and welfare needs not being met; an alert from the local authority safeguarding team about poor nursing practice being witnessed and a notification about a person falling and sustaining a head injury. We also were following up on the issues raised at our earlier inspection in December 2011.

On the day of our visit we were told that there were 32 people living at the home, eight of whom required residential care, the remaining 24 needing nursing care.

We looked at ten care files. Although these had a level of detail about people’s health and social care needs, we did not find any evidence to suggest that people and their relatives were involved in planning this information. Care plans did not appear person centred, with them being prescriptive of the care needed to be provided. Care plans were standardised, meaning that everyone’s care plans were the same, but certain additions were added. We spoke to the manager, who recognised that the care plans were not person centred. They added that they had just started to implement a new style of care plan which needed to be handwritten by staff to ensure they reflected the needs of each individual. We saw that one person had the new style care plan, which had been rewritten on 9 May 2012.

We found evidence that care plans had not been routinely reviewed. This meant that people’s changing needs were not necessarily reflected, with the right courses of action taken, such as seeking medical advice.

Staff we spoke with expressed their concerns about not having sufficient time to do their jobs properly, such as meeting people’s care and welfare needs and completing paperwork. One staff member told us that personal care was just a quick ‘flick’ with a flannel because there was no time to do anything else. Another stated that at times they felt 'overwhelmed', adding “you tend to smile with your mouth, not your eyes.” Another staff member stated that staff tended to become so stressed and tired, with the only option to go off sick.