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Centenary House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 May 2019

About the service:

•Centenary House is a care home registered to provide personal care and accommodation to up to 13 people. The home specialises in the care of older people. At the time of the inspection 12 people lived at Centenary House.

People’s experience of using this service:

•Systems and processes to monitor the service were not effective, did not drive improvement and the provider had poor oversight. As a result, the quality of care provided to people had not improved since the last inspection.

•The service was not safe because people were not always protected against the risks associated with medicines.

•Records did not identify what people had to eat and drink each day which meant people at risk of weight loss were not monitored.

•Care records did not reflect the needs and preferences of people using the service. They were task orientated not person centred. The lack of detail meant care and support may not be given effectively.

•There was a lack of stimulation for people using the service. Several people said they would like to see improvements in this area. Very few activities were offered and those that were did not always consider individual interests, preferences or abilities.

•Some aspects of the premises were not clean. Poor infection control standards were found throughout the service. Some environmental risk had not been identified.

•We saw positive interactions during the inspection, with staff being kind, friendly and patient when assisting people.

•Staff and visiting professionals felt the registered manager was trying to make improvements with the resources available.

More information about the detailed findings can be found below.

Rating at last inspection:

•At the last inspection the service was rated Requires Improvement (December 2017). Following the last inspection, we carried out a focused inspection that was also rated Requires Improvement (June 2018). At this inspection we found the service had not improved and remains rated as requires improvement overall.

Why we inspected:

•This inspection was a scheduled inspection based on the previous rating and aimed to follow up on concerns we found in June 2018. In addition, we had received some information of concern prior to the inspection which we explored as part of this inspection.

Enforcement:

•Full information about CQCs regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Inspection areas

Safe

Requires improvement

Updated 29 May 2019

The service was not always safe

Details are in our Safe findings below

Effective

Requires improvement

Updated 29 May 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 29 May 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 29 May 2019

The service was not always responsive

Details are in our Responsive findings below

Well-led

Inadequate

Updated 29 May 2019

The service was not well-led

Details are in our Well-Led findings below.