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Inspection report

Date of Inspection: 11, 16, 19 September 2013
Date of Publication: 5 February 2014
Inspection Report published 05 February 2014 PDF

Overview

Inspection carried out on 11, 16, 19 September 2013

During an inspection to make sure that the improvements required had been made

During our last inspection on 25, 27 June and 1 July 2013, we found the provider was failing to meet essential standards.

We served three Warning Notices on the provider and registered manager in relation to continued non-compliance with regulations regarding the care and welfare of people who use services, cleanliness and infection control and the management of medicines.

We also set compliance actions regarding the safety and suitability of premises, safeguarding people who use services from abuse, requirements relating to workers and assessing and monitoring the quality of service provision.

We conducted a further inspection on the 11, 16 and 19 September 2013 to check the registered persons had taken the appropriate action to meet the requirements. During the inspection we also looked at essential standards relating to staffing and the maintenance of records.

We found improvements had been made to the laundry and a new sluice facility had been created. However, we found none of the essential standards we inspected were being met.

There were inadequate arrangements in place for the safe handling of people�s medicines. Care plans and risk assessments did not reflect the current needs of people, which put them at risk of receiving inadequate care. The care plans had not been reviewed although the needs of people had changed and this may impact on the care they received.

People were not provided with a safe environment to live in. The checks on essential safety equipment had not been carried out. There were inadequate bathing facilities to meet people�s needs. We found the hot water delivery in people�s bedrooms were unsafe and put them at risk of harm.

The recruitment process and staff training were not robust to ensure staff were fit for the job. The staffing levels were decreased at the weekends that may put people at risk of not receiving the care and support they need.

There were some audits being carried out. However these were not robust and did not look at adverse incidents and develop strategies in order to minimise or eliminate risks. There was no action plan developed to show how shortfalls identified through surveys and audits would be addressed.

The management of records was poor and the records for the safe management of the service were not adequately maintained. This puts people at risk to their welfare and safety.