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Sowerby House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 April 2021

About the service

Sowerby House is a residential care home providing personal care for younger adults and older people who may be living with a physical disability or dementia. The service is registered to support up to 51 people in one adapted building. Thirty people were using the service when we inspected.

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

People were at increased risk of harm because infection prevention and control practices were not always safe and effective. Good practice guidance had not been followed to help minimise risks relating to COVID-19. The provider’s audits had not identified and addressed the issues and concerns we found.

Management were approachable and responsive to feedback. They acted in response to our concerns to make improvements to help keep people safe. We will check and make sure improvements continue and are sustained at our next inspection.

Staff were safely recruited, and enough staff were on duty to meet people’s needs. People provided positive feedback about the service and the kind and caring staff. The registered manager was approachable and responsive to feedback addressing any issues or concerns people had.

People had a choice of meals and felt staff provided good support to help make sure they ate and drank enough. However, records relating to people’s food and fluid intake did not always provide a clear picture of the support provided and we spoke with the provider about reviewing these.

Medicines were managed and administered safely.

Staff understood how to identify and report safeguarding concerns. Risk assessments were in place to guide staff on how to safely meet people’s needs. The registered manager reviewed all accidents and incidents to identify any actions that could be taken to prevent a similar thing happening again.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was Good (published 1 August 2018).

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about the management of people’s medicines, support with meals and drinks, staffing and infection prevention and control practices. A decision was made for us to inspect and examine those risks.

We inspected and found there was a concern with infection prevention and control practices, so we widened the scope of the inspection to become a focused inspection which included the key questions of Safe and Well-Led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to infection prevention and control practices and governance. You can see what action we have taken at the end of this full report.

Follow up

We requested an action plan from the provider to understand what they would do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as p

Inspection areas

Safe

Requires improvement

Updated 16 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 April 2021

Caring

Good

Updated 16 April 2021

Responsive

Good

Updated 16 April 2021

Well-led

Requires improvement

Updated 16 April 2021

The service was not always well-led.

Details are in our well-led findings below.