The Care Quality Commission (CQC) has told the providers of Windsor Care Home, Hebburn, Tyne and Wear that they must make improvements to protect the safety and welfare of people living there.
CQC carried out its most recent inspection in October 2016. Inspectors found that the care being provided, was failing to provide care which was safe, effective, caring, responsive or well led.
The report published by CQC can be found at: http://www.cqc.org.uk/location/1-133349329.
The last inspection of this service was in May and 4 June 2016. During this inspection inspectors found that the provider's quality assurance processes were still ineffective. Although audits had been carried out to check some areas of quality and safety, such as care plans and medicines, these had not resulted in improvements.
Some of the findings from the latest inspection included:
At this inspection CQC found there were continuing breaches in relation to six regulations. Potential risks to people's well-being were not assessed or set out so staff had no guidance about how to manage those risks. For example there were no risk assessments about potential choking for people who had swallowing difficulties.
Debbie Westhead, Deputy Chief Inspector for Adult Social Care in the North, said:
“The care provided at Windsor Care Home was unsatisfactory. Breaches from the last inspection had still not been rectified including medicines still not being managed in a safe way. This was because people did not always receive their medicines in the right way and records had not been completed correctly placing people at risk of medication errors. Failing to learn and act on the previous inspection findings is not good enough.
I was concerned to read that some service users records were not being kept up to date. We heard relatives say that they received differing accounts of their family member's needs from different staff so were concerned staff may not always be following the correct plan of care. Some of the care records we looked at contained contradictory information. During the inspection we asked the manager to arrange for three people's care files to be updated immediately and for the staff team to be instructed in the changes.
There was no evidence in the training files of the seven nurses of assessed competency for areas such as catheter care and tube feeding. Only two nurses had attended a pressure ulcer management and prevention session and a training session around epilepsy. Documents for medicine competencies of nurses had not yet been completed.
“People are entitled to services that deliver consistently good. At the last comprehensive inspection this provider was placed into special measures. This inspection found that there was not enough improvement to take the provider out of special measures. CQC is now considering the appropriate regulatory response to resolve the problems we found.
“We have been working with South Tyneside Council to ensure that people living at the home are not at undue risk and we will continue to monitor this care home.
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For further information, please contact CQC Regional Engagement Manager David Fryer on 07901 514220.
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