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Wirral Christian Centre Trust Limited Inadequate

We are carrying out a review of quality at Wirral Christian Centre Trust Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 25 August 2021

About the service:

Wirral Christian Centre is a 'care home' otherwise known as Orton House. Orton House is registered to provide accommodation for up to 39 older people. At the time of our inspection, there were 25 people living in the service.

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

At this inspection, we identified concerns with the management of risk, care planning, the delivery of care, medicines, infection control, record keeping and leadership and governance. Audits and checks were not always completed by the registered manager and provider. Those completed were not always effective at making improvements where actions were required. This posed potential risks within the service.

Staff did not always have sufficient or accurate information about people’s needs and lacked guidance on how to provide safe and appropriate care. Medication management was unsafe and placed people at risk of avoidable harm.

The service was clean, and staff used appropriate techniques to prevent the spread of infection. However, aspects of managing infection control lacked appropriate oversight to ensure the service had safe systems. The isolation procedures were not followed appropriately, staff had not all competed required training and oversight of the testing programme was not effectively taking place.

People told us they liked living at the service, but some relatives felt they needed more access to social support and activities.

Record keeping supporting people's needs were not always documented and up to date within care records. Some people’s clinical needs were not properly monitored to keep them safe and where professional advice had been given; this had not always been followed.

Accident and incidents and safeguarding events were recorded. However, some of these incidents had not been acted on appropriately.

The systems in place to monitor quality and safety were ineffective. Although new systems had been implemented, they were not reflecting the actions to improve the service provision and lacked oversight.

This is the second time, since 2020 that the service has been rated inadequate. It was clear that both the provider and registered manager lacked an understanding of regulatory requirements and how to ensure people received safe and appropriate care. This placed people at significant risk of avoidable harm.

There were enough staff on duty to support people. Staff were observed to be kind and caring and people told us they felt safe. People and relatives we spoke with were positive about the service however comments were made that there could be more staff.

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

The last rating for this service was inadequate (published 15 January 2021) 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 we found no improvements in breaches for regulation 12 and 17. Improvements had been made and the provider was no longer in breach of regulation 18.

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 and the provider was still in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. Also, a breach of regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We also looked at management of staffing levels and staff training. This was a breach of Regulation 18 (Staffing) of the Health and Social Care Act 2008 (Regul

Inspection areas

Safe

Inadequate

Updated 25 August 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 25 August 2021

Caring

Good

Updated 25 August 2021

Responsive

Good

Updated 25 August 2021

Well-led

Inadequate

Updated 25 August 2021

The service was not well-led.

Details are in our well-Led findings below.