You are here

Curtis Weston House Inadequate

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 8 August 2020

About the service

Curtis Weston House is a residential care home registered to provide personal care and accommodation for up to 44 younger and older adults. People using the service had a physical disability, sensory impairment, dementia, mental health needs and a learning disability or autistic spectrum disorder. At the time of our inspection there were 34 people using the service.

Accommodation is split across two floors accessed by a lift. Communal areas include lounges, bathrooms and toilets.

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

Concerns related to protecting people from abuse had not been resolved since the last inspection. There was ineffective management and intervention. Risk assessments did not provide sufficient information and guidance to enable staff to respond consistently when supporting people with distressed behaviours.

Care plans had been rewritten and reviewed since the last inspection but were not person centred. Conflicting information was reported in some records which meant people may not be supported in the most appropriate way. Staff recording was, at times, inaccurate and therefore an accurate picture of support could not always be determined.

Analysis of incidents and accidents were not always effective. Timely action was not consistently taken to identify root cause and measures that could reduce the risk of further incidents of harm for people. People were not always supported to achieve positive outcomes from their care.

Governance remained an on-going concern following on from the last inspection. Audits, although completed, were not always effective in accurately capturing information or driving improvements. Although we found some improvements since our last inspection, these were not yet embedded into working practices to demonstrate they could be sustained.

The provider had appointed a new care manager who intended to apply for registration with the Commission. They had begun to make improvements within the service and staff and people spoke about the positive impact they had made in a short space of time.

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

Rating at last inspection

The last rating for this service was Inadequate (supplementary report published 16 April 2020) with a number of breaches of the regulations identified. As a result the service was placed in special measures. We imposed conditions on the provider's registration in March 2020 that they must ensure a) must not admit any new service user without the prior written agreement of the Commission, b) must ensure all care plans and risk assessments for service users are updated and disseminated to staff, c) must ensure all staff who support service users with nursing or personal care have received training in safe breakaway, sexuality and relationships, positive behaviour support and safeguarding adults and d) must ensure if children from a nursery visit that all care staff involved have received safeguarding children training and appropriate risk assessments are in place. The provider completed an action plan after the last inspection to show us how they would meet these conditions. A monthly report was sent to the Commission detailing progress. At this inspection not enough improvement had been made or sustained by the provider, therefore the service was still in breach of regulations. The service retains an Inadequate rating.

Special Measures

The overall rating for this service is 'Inadequate' and the service 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. 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 m

Inspection areas

Safe

Inadequate

Updated 8 August 2020

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 8 August 2020

Caring

Requires improvement

Updated 8 August 2020

Responsive

Requires improvement

Updated 8 August 2020

Well-led

Inadequate

Updated 8 August 2020

The service was not well-led.

Details are in our Well-Led findings below.