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Garside House Nursing Home Inadequate

The provider of this service changed - see old profile

We are carrying out a review of quality at Garside House Nursing 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 1 January 2020

About the service

Garside House Nursing Home is a residential care home that provides personal and nursing care for up to 40 people on three separate floors. At the time of the inspection 27 people were living at the service, including older people, people living with dementia and those receiving end of life care.

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

People were placed at undue risk of harm. People were unable to easily call staff for assistance when they needed it. Risk management plans were not always followed correctly to mitigate the risk of harm. People’s medicines were not managed safely. The service did not always follow good infection control procedures.

Care plans did not always meet all people’s health and social care needs. People’s hydration needs were not always met and the risk of dehydration and weight loss was not properly mitigated.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People told us their regular staff were kind and caring and treated them well. The frequent use of agency staff impacted on people’s experience of care. Some practices in the service compromised people’s dignity.

People and their relatives did not contribute to the formation and review of their care plans and these were not always individualised to meet people’s personal preferences. People’s social needs were not adequately met and the risk of social isolation was not mitigated. End of life plans were not in place for people.

The service did not engage in a meaningful way with people receiving care and their relatives. Systems were in place to monitor the quality of the service however they had not identified all the concerns raised in this inspection.

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

Rating at last inspection and update

The rating for this service was Requires Improvement (published 29 March 2019).

Why we inspected

The inspection was prompted in part by notification of specific allegations of abuse and mistreatment of people receiving care which we received on 21 October 2019. The local authority visited the service shortly after these allegations were received and raised further concerns of safety and good governance which prompted our inspection of the service. The original allegations are subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the specific allegations.

Enforcement

We have identified breaches of regulation in relation to safe care and treatment, safeguarding people from abuse, person centred care, dignity and respect, nutrition and hydration, staffing, acting on complaints and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Special Measures

The overall rating for this service is ‘Inadequate’ and the service is in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the pro

Inspection areas

Safe

Inadequate

Updated 1 January 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 1 January 2020

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 1 January 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Inadequate

Updated 1 January 2020

The service was not responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 1 January 2020

The service was not well-led.

Details are in our well-Led findings below