Archived: Quenby Rest Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Inadequate

Our view of the service

Date of Assessment 20 March 2025 to 1 April 2025. Quenby Rest Home is a residential care home providing support to older people, including those living with dementia, and, or mental health needs. At the time of our visits there were 21 people using the service. The inspection was prompted in part by an incident regarding the safety of people. This incident is subject to further investigation by CQC as to whether any further regulatory action should be taken. As a result, this inspection could not examine the circumstances of the incident at this time. However, the information shared with CQC about the incident indicated potential concerns about the management of risk of choking for others living at the service. This inspection examined those areas.

We found 3 breaches of the legal regulations in relation to safe care and treatment, staffing and governance. Risks to people’s health and safety were not identified, managed or prioritised to mitigate the risk of harm, or the potential risk of harm occurring. People’s care plans did not contain sufficient detail to guide safe practice to mitigate any risks to their safety and wellbeing. There were no systems in place to ensure safe management of food and drinks for people with swallowing difficulties (dysphagia). There was not enough staff with the right skill mix to ensure people’s safety. Infection prevention and control (IPC) measures were poor, which placed people at risk of acquiring infection. Staff lacked training, support and supervision to ensure they carried out their roles safely and effectively. Governance systems and audits were not effective in identifying or addressing areas for improvement.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

While people we spoke with and their relatives expressed general satisfaction with the care provided, our assessment found people’s care did not meet the expected standards. People did not live in a safe, clean and well-maintained environment. There were no proper processes in place to ensure the safety and continuity of people’s care where they moved between services, under the Recovery to Home (RTH) reablement project. The RTH project is aimed at helping people regain independence and return to their homes safely and effectively after a hospital stay.

People did not receive personalised care and were not protected from the risk of harm, including risks associated with moving and handling, swallowing difficulties (dysphagia), catheter care and skin integrity. People living with specific health conditions, such as Parkinson’s, diabetes, and epilepsy did not have detailed care and support plans in place to ensure staff knew how to monitor and meet their needs safely. Whilst staff had received training in dementia, we observed they did not have a good understanding of how to effectively communicate, interact or engage meaningfully with people living with dementia to ensure they had a good quality of life at every stage of the condition.