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Archived: Qu'Appelle Care Home

Overall: Inadequate read more about inspection ratings

Harrington Street, Bourne, Lincolnshire, PE10 9HA (01778) 422932

Provided and run by:
Qu'Appelle Residential Care Home Limited

Important: This service was previously registered at a different address - see old profile

Latest inspection summary

On this page

Background to this inspection

Updated 21 December 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Qu'Appelle Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used all this information to plan our inspection.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with eight members of staff including the registered manager, heads of care, senior care workers, care workers and a chef. We reviewed a range of records. This included four people's care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Overall inspection

Inadequate

Updated 21 December 2021

Qu'Appelle care home is a residential care home providing personal and nursing care to 15 people aged 65 and over at the time of the inspection. The service can support up to 36 people.

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

People were not protected from avoidable harm because risk assessments and care plans were not up to date and did not always identify risk. Staffing numbers were not sufficient to meet people’s needs or keep them safe. Staff did not have time to monitor or supervise people who required this. Some people did not have enough to eat or drink and this was not identified, and no action was taken.

The premises and environment were poorly maintained, and this put people at risk of harm. Action required identified in the providers own fire risk assessment had not been taken. Staff had not had evacuation training and there were not enough staff to keep people safe in an emergency situation. Lincolnshire Fire and rescue service visited the service the day after our inspection and served a prohibition notice. This meant the fire service was of the opinion the use of the premises would involve serious risk to people and should not be used.

Infection control policies and procedures did not protect people from infection because government guidance was not always followed. Risks associated with COVID-19 had not always been identified or assessed.

There was a lack of formal oversight from the provider, who had failed to identify the concerns found during our inspection. Quality assurance audits were not always carried out or were ineffective. Staff had not received the training and support they required. People were not consulted about their care and support. People were not protected from the risks associated with receiving care and support.

Rating at last inspection

The last rating for this service was inadequate (published 20 May 2021). At this inspection, not enough improvement had been made and the provider was still in breach of regulations.

Why we inspected

This inspection was carried out to check whether the Warning Notice we previously served in relation to Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. We also received concerns in relation to staffing numbers and safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement

We have identified breaches in relation to safety, staffing numbers, quality monitoring and governance.

We cancelled the provider's registration.

Follow up

The overall rating for this service is ‘Inadequate’ and the service therefore remains 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.