You are here

All reports

Inspection report

Date of Inspection: 14 January and 14 June 2011
Date of Publication: 23 August 2011
Inspection Report published 23 August 2011 PDF

People should be cared for in a clean environment and protected from the risk of infection (outcome 8)

Enforcement action taken

We checked that people who use this service

  • Providers of services comply with the requirements of regulation 12, with regard to the Code of Practice for health and adult social care on the prevention and control of infections and related guidance.

How this check was done

Our judgement

The provider did not comply with the requirements of regulation 12, with regard to the Code of Practice for health and adult social care on the prevention and control of infections and related guidance and failed to ensure that there were effective arrangements for the appropriate cleaning and decontamination of equipment.

User experience

We did not talk to people about this outcome.

Other evidence

On 14 and 15 June 2011 Compliance inspectors with the commission, carried out unannounced site visits to Middleton Lodge, as part of a planned responsive review. On our visit of 14 June we saw that the building was in a very poor state of cleanliness, with very strong unpleasant odours, brown coloured smears to several walls and mattresses being used by service users despite being heavily soiled

In 2 occupied bedrooms we found that the mattresses in use were heavily stained with large areas of brown/black and yellow substance on both sides and edges. When we asked the acting manager, who had been in post for approximately 3 weeks, about the steps that the home had taken to make sure that people’s mattresses were clean, she said that there wasn’t any but she had not realised that they were so dirty. When we visited the home again on 15 June 2011 these mattresses were still being used by service users.

We looked at the carpets and wall coverings in bedrooms and communal areas of the home. We saw that the carpet in an occupied bedroom was heavily soiled with dark grey/black staining and there were smears of a brown substance across 2 of the bedroom walls. There was a strong unpleasant odour in the room. In another occupied bedroom we smelt a strong unpleasant odour. We asked, the acing manager, why there was an odour in the room and she said that the service user had previously suffered from a continence issue and that the carpets had not been cleaned in the time she had been manager at the home (three and a half weeks). A senior care worker at the home for 3 years said that the carpet had not been cleaned following the service user’s continence issue.

We looked at the floor coverings in the central communal lounge next to the kitchen and saw that it was heavily soiled with dark grey/black staining. We smelt an unpleasant odour in the room. We saw that the furniture was stained with white and dark brown/black areas and we saw that blankets had been placed on top of the stained base cushions of the 2 sofas.

We looked at the ‘quiet lounge’ next to the laundry and saw that the floor was stained with areas that were a grey colour and saw that 2 sofas and 2 chairs were extensively stained with dark brown and light patches. The base cushions for the furniture were missing. One of the sofas had been overturned. We smelt a very strong unpleasant odour in the room. We were told by the acting manager that the staff could not meet the needs of one service user who was regularly and frequently incontinent whilst sitting on the floor and furniture of the room. We examined the overturned sofa and found that it was extensively stained with dark brown and light patches and it remained wet and had a very strong unpleasant odour. We were told that the home’s practice was to overturn the furniture when these had become too wet to sit on and this was a frequent, daily occurrence.

We asked about the home’s procedure for cleaning furniture and carpets, the acting manager said that that there was no mechanical equipment at the home or available for staff to use to clean carpets, nor was there an arrangement whereby external contractors could be used to hygienically deep cleanse carpets and furniture. We were told that there were no staff employed who had specific responsibility for maintaining standards of cleanliness at the home. When asked, a senior carer said that there had never been a mechanical carpet cleaner at the home in the 3 years she had worked there.

We looked at the flooring and furniture in the dining room. We saw that each table leg had a band of a grey/black substance around it for approximately 10cm from the floor. All of the chairs in the room had a residue of spilled food on their backs and seats; some lounge chairs were being used in the dining area and having absorbent fabric, were heavily stained with food spills and smears.

In an occupied bedroom we saw that there were large patches of a blac