The Care Quality Commission
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Archived: Carrgreen Nursing Home

Overall: Inadequate read more about inspection ratings

Carrgreen Lane, Rastrick, Brighouse, West Yorkshire, HD6 3LT (01484) 710626

Provided and run by:
Flowertouch Limited

All Inspections

28 January 2015

During a routine inspection

We inspected Carr Green Nursing Home on 28 January 2015 and the visit was an unannounced comprehensive inspection.

Our last inspection took place on 3 September 2014. At that time, we found breaches of legal requirements in five areas. These included; care and welfare, cleanliness and infection control, safety and suitability of premises, staffing and assessing and monitoring the quality of the service. We served warning notices for the breaches in relation to safety and suitability of premises and assessing and monitoring the quality of the service. In these notices we asked the provider to make improvements to the safety and suitability of the premises by 24 October 2014 and assessing and monitoring the quality of the service by 21 November 2014. The provider sent us an action plan telling us they would make improvements to ensure they no longer breached regulations in the other three areas.

Carr Green Nursing Home provides both personal and nursing care for up to 25 older people. The accommodation is all on one level and consists of a lounge, dining room and 25 single bedrooms. At the time of our visit there were 15 people using the service. The number of people using the service had reduced as following our last inspection placements were stopped by the organisations who commission and pay for the service.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

We found the provider had not taken appropriate action to ensure they met the requirements of the warning notices and to ensure they no longer breached regulations.

We found fire doors that were not closing properly or were being wedged open. This meant they would not be effective at holding smoke back in the event of a fire.

A current gas safety certificate and electrical installation certificate were not in place. This meant we could not assure ourselves the installations were safe.

The temperature of the building was variable with some areas being draughty and additional heaters were in some bedrooms to maintain a comfortable temperature. The hot water coming out of some of the bedroom taps was in excess of 60 degrees centigrade and posed a scalding risk.

We contacted West Yorkshire Fire Service and the Health and Safety Executive following our visit to report these concerns.

The medication system was not well managed and medicines were not being stored at the right temperatures. The medication policy was out of date and there were no protocols in place to make sure any ‘as required’ medication was given appropriately.

We saw induction training for new staff was completed in one day and this covered 10 or 11 topics. Staff had not received any practical moving and handling training in how to use hoists or other equipment safely.

We found the service was not meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS).

People told us the food was good and we saw people were offered a choice of meals at breakfast and lunchtime.

People told us they liked living in the home and staff were kind and caring. People also told us they enjoyed the activities on offer in the afternoons.

We found people’s care records were not always up to date and did not reflect people’s current care needs. They also lacked assessments of risks to some individuals and information about what action staff needed to take in order to reduce those risks.

We found the service was not well led. The lack of effective quality monitoring systems meant the provider was not identifying its own deficiencies and acting upon them. There were significant areas which were having a detrimental impact on the care and well-being of people using the service.

We found on-going breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.

3 September 2014

During an inspection in response to concerns

The inspection team consisted of two inspectors. Before this inspection we had received information of concern about the environment, staffing levels and provision of food. We looked at these areas during this visit and have asked the provider to make improvements.

We also reviewed the information we held about the home before this inspection. This included information from the provider, and speaking with the local authority contracts and safeguarding teams.

On the day of our inspection we spoke with six of the 15 people who were currently living at the home, six members of staff, the registered manager and the provider's representative.

We looked around some areas of the building including people's bedrooms, bathrooms, kitchen and communal areas. We also spent time looking at records, which included two people's care records and records relating to the management of the home.

During our inspection we looked for the answers to five questions;

Is the service caring?

Is the service responsive?

Is the service safe?

Is the service effective?

Is the service well led?

Is the service safe?

The service was not safe. We found areas of the home were not clean. This meant people were not living in a clean and hygienic environment.

We found some areas of the building had not been well maintained or were unsuitable. This meant there were areas of the home which were unsafe.

Is the service effective?

The service was not always effective. Staff were not attending training courses as they were not being paid for attending. This meant staff training may not be up to date.

Records showed people had regular access to healthcare professionals, such as GP's, dentists, podiatrists and opticians.

Is the service caring?

The service was caring. Staff knew about the lives, interests and preferences of people in their care. We saw staff treat people with patience, care and compassion.

Is the service responsive?

The service was not responsive. There were not enough staff on duty to provide appropriate activities for the people who lived there or to keep the home clean.

There were no activities on offer to keep people stimulated and occupied.

Is the service well-led?

The service was not well led. Although there were procedures in place to monitor the quality of the service we found these were not always effective. This was because the provider failed to take appropriate action when issues were identified.

26 June 2013

During a routine inspection

We spoke with seven people who use the service and two members of staff. These are some of the things they told us;

'Staff on the whole are very, very good. They work very hard and are very caring.'

'The staff are all very friendly and welcoming.'

'Anything you ask for they try and do.'

'I can't fault it in any shape or form. I am well fed, my laundry is done and I am treated like a queen.'

'My relative found me a place here and I couldn't wish for anything better. I can do what I like when I like.'

We found that people had been involved in planning and reviewing their care and support. We saw from the records that staff were delivering care and support in line with people's care plans. People looked well cared for and were being encouraged to follow their individual interests.

29 May 2012

During a routine inspection

We spoke with seven people living in the home and one relative; these are some of the things they told us;

'It suits me fine living here, I can do more than I thought I could.'

'I know all of the staff and they know me and I get on with them.'

'Everyone is friendly and I can go out with my family when I want to.'

'There is plenty of food, good puddings and lovely home baking.'

'I have no complaints.'

'The staff are good and I get the support I need.'

'I am made to feel welcome when I visit and the staff are doing very well with my relative.'

16 June 2011

During an inspection looking at part of the service

People told us that the staff are kind and caring but they though the home was short of staff and sometimes they had to wait for staff to attend to their needs.

People told us that some redecoration and refurbishment of the home had taken place but progress was slower than they anticipated.

27 January and 27 February 2011

During a routine inspection

People said that staff are respectful and listen to their views.

People told us that they are getting good care and support.

People that we spoke to told us that they like the meals at the home and there is plenty of food available.

People told us that the staff are kind and caring.

People told us that the home is always kept clean and odour free.

People told us that they like their rooms, but felt there were areas of the home that would benefit from some redecoration and refurbishment.

People told us that staff are available when they need them.

People told us that staff are very supportive and approachable.

People told us that they would talk to the manager or a member of staff if they were unhappy or had any concerns.

Staff told us that they like working at the home, the training on offer is good and they are supported by the manager.