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The Maltings Care Home Inadequate

We are carrying out a review of quality at The Maltings Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 3 October 2020

About the service

The Maltings Care Home is a residential care home providing personal care to 39 people aged 65 and over at the time of the inspection. The service can support up to 43 people, some of whom may be living with dementia. The service is split into upper and lower floors, each with its own communal areas.

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

People did not always receive care and support which was safe and which met their needs. Medicines were not well managed and there was a lack of effective monitoring by the provider which meant errors with medicines and unsafe practice was not identified. People did not always receive their prescribed medicines.

Safe systems were not in place regarding the risk and spread of infection, including COVID-19. Staff were not wearing PPE in accordance with government guidance and cleaning procedures were not robust. Oversight of cleaning was poor and some areas were not as clean as they should be.

Some risks were poorly managed including those relating to blood thinning medicines, choking, pressure care and people not drinking enough. Records were incomplete and some risks had not been fully considered and action taken to reduce them. Fire risks had not been fully assessed and mitigated. We required the provider to address specific issues related to this and they have done so. Staff knowledge and understanding of fire procedures was not good.

Staff recruitment procedures were not robust which meant people who used the service were not fully protected. Staffing levels were mostly in accordance with the provider’s own assessment of what is safe but staff told us there were not enough to meet people's needs. The provider is in the process of reviewing staffing levels. The service was using a lot of different agency staff and systems to ensure they have all the information they need to carry out their roles safely were not robust.

Governance and oversight of the service was not effective and did not protect people. Audit systems did not identify the concerns we found and records throughout the service were incomplete, contradictory and confusing for staff. Where things had gone wrong, investigations into what happened and how to learn lessons for the future were not robust or timely. One significant incident had not been reported appropriately to CQC.

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

Rating at last inspection

The last rating for this service was Requires Improvement (published 4 December 2019.)

At that inspection we identified a breach of regulation 12 (Safe care and treatment). At this inspection we found that the provider had not made sufficient improvement and the service was still in breach of this regulation.

Why we inspected

The inspection was prompted in part by concerns we received relating to poor management of a person’s fall. Our investigation of this led us to have concerns about multiple areas of the service including records, medicines management and risk management including risks associated with Covid-19. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led.

We reviewed the information we held about the service and considered the fact that this inspection was taking place during a time of global pandemic. No other major areas of concern were identified in the other key questions. We therefore did not inspect them. We used ratings from the previous comprehensive inspection for those key questions to calculate the overall rating at this inspection.

The overall rating for this service has changed from Requires Improvement to Inadequate. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the Safe and Well-Led sections of this full report.

You can see what action we have asked the provider to take at the end of this report. During the inspection we had conce

Inspection areas

Safe

Inadequate

Updated 3 October 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 3 October 2020

Caring

Good

Updated 3 October 2020

Responsive

Good

Updated 3 October 2020

Well-led

Inadequate

Updated 3 October 2020

The service was not well-led.

Details are in our well-Led findings below.