Sandrock Nursing Home

Updated 18 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was undertaken by 3 inspectors.

Service and service type

Sandrock Nursing Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Sandrock Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was no registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since our last inspection and we sought feedback from the local authority. We used this information to plan the inspection.

During the inspection

We spoke with 3 people who used the service about their experience of the care provided. We also spoke with 4 members of staff including the nursing staff, care staff, kitchen and maintenance staff. We made observations in communal areas of staff interactions with people living at the service.

We reviewed a range of records. This included 3 people's care and support records and medicine administration records. We looked at staff records. We also reviewed a variety of records relating to the management of the home, including policies and procedures, staffing rotas, accident and incident records, safeguarding records and audits and governance records.

Updated 18 January 2024

About the service

Sandrock Nursing Home provides accommodation for up to 28 people who require nursing or personal care. At the time of our inspection 7 people lived in the home. Since last inspected commissioners had helped support people to move out of the service.

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

During the previous four inspections we identified serious concerns with the safety and quality of the service being provided for people.

During this inspection, there continues to be breach of the regulations and evidence of non-compliance. With the provider’s poor regulatory history and repeated concerns from the past 4 inspections, we could not be assured that the quality of the service would improve in the areas identified at this inspection.

During this inspection the provider neglected the premises people lived in placing them at risk of harm. We found a series of concerns relating to the health and safety of both the inside and outside of the premises and regarding to poor management of infection control.

People told us they were comfortable and received good food and care from the staff. Some people told us there wasn't much to do but they liked to sit and watch the television.

The principles of the Mental Capacity Act (2005) were being consistently followed when providing care and treatment for people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were protected from abuse because staff understood the correct procedure to follow if they had any concerns. Staff were knowledgeable about people's health.

Rating at last inspection and update

The last rating for this service was inadequate (report published 5 September 2023) and there were breaches of regulation.

At this inspection, we found that the provider had failed to make sufficient improvements. This meant the service continued to be in breach of regulation 17 for the fifth consecutive inspection and was found to be in continued breach of regulation 15 for the second time since the last inspection.

Why we inspected

This inspection was carried out to follow up on actions we told the provider to take at the last inspection.

You can read the report from our last inspections, by selecting the 'all reports' link for Sandrock Nursing Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to lack of effective governance of the service.

Follow up

Will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Special Measures

The overall rating for this service is 'Inadequate' and the service therefore continues to be 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 mean we will begin the process of preventing the provider from operating this service.

This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as

inadequate for any of the five key questions it will no longer be in special measures.