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CQC takes action to protect people at Dean Wood Manor, Wigan
Dean Wood Manor, Wigan continues to be in special measures to protect people using the service, after the Care Quality Commission (CQC) again rated it as Inadequate following an inspection in June this year.
Dean Wood Manor is registered with the Care Quality Commission (CQC) to provide nursing and personal care to a maximum of 50 people. At the time of this inspection, there were 32 people living at the home.
This inspection in June was scheduled to check on progress made with concerns identified at the time of a previous inspection, in November last year.
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:
“People are entitled to services which provide safe, effective and well-led, high quality care.
“We found the care provided by Dean Wood Manor fell short of the standards we expect services to provide.
“Although there had been some improvements during this inspection, we found sufficient progress had not been made and there were continued systemic failures across the home.
“We were very concerned that basic risks to people’s safety were not being managed. For example we found risk assessments being carried out, but they were not updated to reflect people’s changing needs, and some had been completed incorrectly. Dean Wood Manor also failed to ensure that medicines were managed safely and that staff responsible for the management of medicines were competent, skilled and experienced to do so safely.
“We are now taking further action to protect people and we are working closely with Wigan Council to ensure that people are safe and get the services they need.”
The full report of the inspection can be found here on CQC’s website: www.cqc.org.uk/location/1-1968263460.
During this inspection, CQC found serious systemic problems in the provider’s failure to follow the principles of the Mental Capacity Act 2005 and the legislation which governs the use of Deprivation of Liberty Safeguards within a care setting.
Inspectors also saw restrictive practice was commonly used which constituted a deprivation of people's Human Rights. For example, towards the end of the first day of inspection, just before the day shift handed over to the night shift, CQC found 18 people who used the service had been moved into the West Lounge. Inspectors observed people were prevented from leaving the lounge whilst the staff changeover took place saw the impact that this had on people as there were several people displaying high levels of agitation during this time.
CQC looked at people's care records to make sure that care, treatment and support which people needed was being delivered safely and that risks to people's health and wellbeing were being appropriately managed. Inspectors found people's care records contained a variety of risk assessments and associated documentation. However, there were risk assessments that had not been consistently updated in response to people's changing needs and, in some cases, risk assessments were incorrectly scored which meant that effective measures were not taken to minimise risk.
CQC also looked at staffing levels to ensure there was sufficient numbers of staff to meet people’s needs. At the time of this inspection visit 32 people were living at the home which was not full occupancy as the provider had agreed to voluntarily accept no new admissions following our last inspection. Despite the use of a new tool to manage staff resources there continued to be insufficient numbers of staff deployed to keep people safe and to meet their needs.
Since the last inspection of Dean Wood Manor, the provider had given reassurance that all staff would be enrolled in a new training and development programme that was being managed through a new training academy. However, during this inspection, inspectors found insufficient progress had been made to ensure that staff were fully supported and qualified to undertake their roles.
The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement, CQC will not hesitate to take further enforcement action.
For further information please contact CQC Regional Communications Officer Kerri James by email email@example.com or by phone on 07464 92 9966. Journalists wishing to speak to the press office outside of office hours can find out how to contact the team here. Please note: the press office is unable to advise members of the public on health or social care matters.
For general enquiries, please call 03000 61 61 61.
- Last updated:
- 29 May 2017
Notes to editors
Providers are required by law to display their ratings on their premises and websites, so that the public can see their rating quickly and easily. This should be done within 21 days of publication of their inspection report. For further information on the display of CQC ratings, please visit: www.cqc.org.uk/content/display-ratings.