Sutton Grange Care Home in Banks Southport has been rated Inadequate by CQC.
This inspection took place on 9, 23, 27 February and 9 March 2018. All four days were unannounced which meant the service did not know we were going. We undertook this urgent comprehensive inspection as a result of concerning information we received from the local authority in relation to the care people who used the service received. Following the first day of our inspection we met with senior members of the management team on behalf of the provider, which included the nominated individual to discuss our concerns. The service was last inspected on 23 and 24 May 2016 and was rated as good overall. Effective was rated as requires improvement and a recommendation was made in relation to the meal time experience for people who used the service.
During this inspection we identified a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to; safeguarding people from abuse and improper treatment, staffing, risks, the environment, infection control, deprivation of liberty safeguarding, records and good governance. We will report on our actions for these when this is complete.
We also identified a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to, consent, staff training, nutrition and hydration, person centred care, dignity and respect, equality and diversity and activities. You can see what action we have taken at the bottom of the full version of this report. We made the following recommendations in relation to induction training for new staff, the timely involvement of professionals and receiving and acting on complaints. We also identified a breach of Regulation 18 of the Care Quality Commission (Registrations) Regulation 2009 (Part 4). Notification of other incidents.
We also identified a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to, consent, staff training, nutrition and hydration, person centred care, dignity and respect, equality and diversity and activities. You can see what action we have taken at the bottom of the full version of this report. We made the following recommendations in relation to induction training for new staff, the timely involvement of professionals and receiving and acting on complaints. We also identified a breach of Regulation 18 of the Care Quality Commission (Registrations) Regulation 2009 (Part 4). Notification of other incidents.
Sutton Grange is registered to provide accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury for people living with a dementia, older people and people with a physical disability. The service can accommodate up to 70 people in four separate units; Banks view, Silver birch, Blossom walk and Red house gardens. Banks View specialised in the nursing care of people living with a dementia, Silver birch specialised in general nursing care, Blossom walk specialised in the care of people living with a dementia and Red house gardens specialised in personal care needs.
On the first day of our inspection 57 people were receiving care at the service. On the subsequent days of our inspection 51 were receiving care at the service. A registered manager is required as part of the services registration requirements. At the time of the first day of our inspection there was a registered manager in post. On day two, three and four of the inspection a new home manager had taken over the day to day responsibility for the home. 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 2008 and associated Regulations about how the service is run.
Systems to ensure people who used the service were protected from abuse were inadequate. We observed a number of incidents where people were exposed to the risk of harm. Whilst some people told us they felt safe in the home others told us they did not.
Risk assessments failed to include detailed and relevant information to support and protect people from any identified risks. We saw a number of identified risks in the home that had not been acted upon appropriately, such as choking for people who used the service. We identified a number of infection risks in the home, including dirty gloves left in public areas, a dirty soiled bed pan and a lack of liquid soap and paper towels for people to use.
Risk assessments failed to include detailed and relevant information to support and protect people from any identified risks. We saw a number of identified risks in the home that had not been acted upon appropriately, such as choking for people who used the service. We identified a number of infection risks in the home, including dirty gloves left in public areas, a dirty soiled bed pan and a lack of liquid soap and paper towels for people to use.
We identified a number of concerns in relation to the safe handling of medicines. Staff were seen to be disrupted during the administration of medicines. Gaps in medication records were seen, which meant people did not receive their medicines as prescribed. Records to administer medicines covertly were brief and lacked detail about how to administer these safely. We were made aware of an incident that had occurred relating to administration of medicines covertly…..
You can read the full report here.
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