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Inspection report

Date of Inspection: 27 April 2011
Date of Publication: 28 June 2011
Inspection Report published 28 June 2011 PDF | 110.55 KB

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Suitable management of services is provided (outcome 24)

Not met this standard

We checked that people who use this service

  • Have their needs met because it is managed by an appropriate person.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 27/04/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People had not had their needs properly met because the service had not been managed by an appropriate registered person, and there had been three people sharing the responsibility to manage the home, which had resulted in inconsistency and lack of continuity.

User experience

We had not spoken directly to people who used services in assessing this outcome.

Other evidence

In April the provider submitted information in the form of a document to the CQC which described how the home was compliant with the outcome and all of the elements that formed the outcome. The information was in the provider's own format and it stated that the home had not been compliant and that there had been a moderate concern with the registering of a manager.

We interviewed the management team and the staff about the continuity of the manager arrangements, as there had been a compliance condition stated on the provider's 'notice of decision' to transfer her application for registration, which should have been met by 1st April 2011.

We were told that the unregistered manager in post had changed her full time status to part time on return from maternity leave, to suit her personal needs. So the provider had continued to encourage the acting manager to assist and job share in managing the home on a daily basis. The provider had also been managing certain aspects of the business herself over the last year. This had resulted in there being much confusion in the staff team about who the actual manager was and no one had taken full responsibility for the role. There had also been a period of miscommunication between management and staff.

We were told that the unregistered manager had not submitted an application to become registered because of being on maternity leave and that on her return working part time had also delayed the application. We were told it had been decided very recently that Mr Jeff Donnelly, a senior management employee at Redstacks and a director of another care business was to submit an application to become registered.

We advised that an application for a registered manager was now extremely urgent, as the CQC could soon be considering enforcement action with any service that had an outstanding compliance condition to have a registered manager in post by 1st April 2011.