Nettleton Manor Nursing Home

Updated 24 August 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 2 August 2022 and was unannounced.

Updated 24 August 2022

About the service

Nettleton Manor Nursing Home is a residential care home providing personal and nursing care to 31 people and is registered to provide care for younger and older adults at the time of the inspection. The care home can accommodate 43 people in one adapted and extended building.

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

The risks to people’s care were not always assessed and measures in place to mitigate these risks. Staff did not always follow national guidance around donning and doffing personal protective equipment or undertake best practice to reduce the risk of infection to people living at the service. People’s medicines were not always managed safely and of the quality monitoring processes had not identified some of the concerns we found.

People were supported with adequate numbers of staff who had received training for their roles. Staff were recruited safely. There was an ongoing refurbishment of the service which had a positive impact on the environment. The service was clean and there were effective cleaning schedules in place being followed by the housekeeping staff.

The registered manager responded to and undertook learning from any safeguarding concerns raised to them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires Improvement report published 21 November 2019 the provider was in breach of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations. This service had been rated requires improvement for the last three consecutive inspections.

Why we inspected

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We undertook this focused inspection to follow up on concerns we had received and to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a continued breach in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014, good governance. There was also a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014, safe care and treatment.

We have taken enforcement action against the provider. Further information on the action we have taken is provided at the end of this report.

We 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 alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The provider has taken positive steps to mitigate the risks to people’s safety when we highlighted concerns to them.