The Care Quality Commission (CQC) has told Chester Lodge care home, Chester that they must make improvements to protect the safety and welfare of people they care for. Chester Lodge Care Home provides care for up to 35 people.
At the last inspection in December 2016, CQC asked the provider to take action to make improvements with regard to safe care and treatment, capacity and consent and overall governance. These actions had not been completed.
During the inspection in September we found a number of new and repeated breaches. We rated safe, caring, effective and well-led as inadequate and for responsiveness they required improvement.
The full report from the inspection can be found on our website.
Some of the findings from the latest inspection included:
Referrals to health professionals were made when concerns regarding people's health were identified, but this was not always done in a timely manner. Inspectors found that advice and guidance provided by health professionals was not always implemented to ensure that risks to people's health and wellbeing were minimised
The premises were not clean and inspectors detected unpleasant smells in parts of the building. The management of infection control required improvement. In addition
accidents and incidents were not effectively monitored. Review of these did not always identify causation, risk or patterns.
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:
“I expect providers should use our inspection reports to help address their problems and rectify them as a matter of urgency. There were a number of issues from this inspection that I had concerns about, for example staff did not always respect people's opinions and choices in regard to how they wanted their support to be provided."
“I was also concerned to learn that people were not always kept comfortable and were not always treated with dignity and respect. People informed us that the staff were caring and did the best that they could to look after them. Care plans did not always record people's needs accurately."
“Inspectors found that advice and guidance was not always sought promptly or followed appropriately. People were not protected from the risk of dehydration and malnutrition. Food and fluid charts were not accurately completed, reviewed or analysed. This could seriously affect the wellbeing of people living in the home."
“People are entitled to services which provide safe, effective, compassionate and high quality care, consequently Chester Lodge care home has been placed in special measures for the second time in two years. We are currently considering our options and if not enough improvement is made, we will take action in line with our enforcement policy to begin the process of preventing the provider from operating this service.”
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There were a number of issues from this inspection that I had concerns about
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North