The Care Quality Commission (CQC) has put Leyland Rest Home, Southport, Merseyside into special measures to protect people using this service, after rating the service as Inadequate following an inspection earlier this year.
Located close to Southport promenade and the town centre, Leyland Rest Home provides accommodation and care for up to 33 people. Twenty three people were living at the home at the time of the inspection.
This inspection took place on 31 May and 1 June 2016 and was unannounced.
Under CQC’s new programme of inspections, all adult social care services are given a rating to help people choose care. We ask five questions, are services; safe, effective, caring, responsive and well led. Overall, Leyland Rest Home has been rated as Inadequate.
We carried out an unannounced comprehensive inspection of this service on 21 September 2015 and identified breaches of regulation in the Safe and Effective domains. The breaches of regulation were in relation to not following the principles of the Mental Capacity Act (2005) and the management of medicines. This was the second consecutive breach in relation to medicines management. We asked the provider (owner) to take action to address these concerns.
At our most recent inspection we found that services had deteriorated which is why we have put the service into special measures to protect people using the service.
The full report from the inspection can be found on this website.
People living at the home were not always receiving their medicines as prescribed by the doctor and at a time when they needed them and they were not always stored securely. For example, a person managed their own medicines but the medicines were not stored in their bedroom in a safe way. Plans were not in place for medicines that were given to people when they required them. This was the third consecutive breach of the regulation in relation to the management of medicines and we are taking action against the provider for this breach.
We also found that staffing levels were inadequate to ensure people’s safety was maintained at all times. The low staffing levels were identified as a concern at our inspection in March 2015. They had improved when we inspected the service in September 2015. Since then the staffing levels had been reduced again.
The report identified a number of other areas which we found deeply concerning including:
- A person who moved to the home over 12 months ago still had a ‘mini’ or temporary care plan in place that did not reflect the person’s current needs. There was some confusion about the difference between a risk assessment and a care plan.
- There were no social or recreational activities for people to participate in. People told us they were bored and just watched televison every day.
- We found reported incidents that should have been treated as safeguarding concerns but had not been. Records showed that 50% of the staff team were not up-to-date with adult safeguarding training.
- We found that areas of the home, most notably bathrooms, were unclean and unhygienic.
- The provider was not informing CQC of all the events CQC are required to be notified about.
Debbie Westhead, Deputy Chief Inspector of Adult Social Care in the North, said:
“People are entitled to services which provide safe, effective, compassionate and high quality care.
“We found the care provided at Leyland Rest Home fell a very long way short of the level we expect services to provide. This is why we have intervened to keep people using this service safe.
“Our first instinct is to make sure the service improves, but we have taken action to protect people as we were worried about their safety.”
“We have been working with Sefton Council to ensure that people living at the home are not at undue risk and we will continue to monitor this care home and will not hesitate to use our enforcement powers”.
Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.
Ends
For further information please contact CQC Regional Communications Officer Kerri James by email kerri.james@cqc.org.uk 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.