Care home stays in special measures after inspection
‘Poor leadership and management within the service’ included in Sistine Manor report
A report carried out by the Care Quality Commission (CQC) in October judged Sistine Manor, in Stoke Green, Stoke Poges, to be an ‘inadequate’ service, despite inspectors noting minor improvements in the service.
The care home was placed into special measures in April 2015 and was warned that if no improvements were made it would be shut down, following a report that labelled it ‘inadequate’ after discovering a catalogue of maintenance issues and raising concerns about residents’ dignity and about them being ‘deprived of their liberty’.
But following the latest report, published on March 29, the home was still judged to be ‘inadequate’ in three areas - ‘effective’, ‘caring’ and ‘well-led’ – and requires improvement in its safety and responsiveness.
According to the report, Sistine Manor did not have a registered manager, despite managers having ‘legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service run’.
The report did note, however, that there was a manager in post and an application had been sent to the CQC to register.
The report reads: “There were poor quality assurances in place considering the ongoing breaches since June 2014.
“Although the manager and operations manager had tried to improve the service, there was poor leadership and management within the service.
“This meant the service had not improved and remained in breach of the required regulations under registration of the Health and Social Care Act 2008.
“We found the manager and operations manager is were not appropriately supported by the provider to ensure the service was safe, effective, caring, responsive and well-led.”
Inspectors also judged ‘the home was still not tailored to meet the needs of people with complex needs and learning disabilities’, and found there to be a host of issues related to the poor training of staff, quality of care and risk assessments.
The facility caters for 19 adults with severe learning disabilities and complex needs.
A spokesperson for Reach, who run the site, said improvements had been made since the original report after they had invested more than £100,000, which inspectors had noticed by upgrading the ‘safe’ rating.
They added: “As this inspection took place five months ago, we feel the report does not provide a true picture of the home’s current position. However, we are not pursuing our option to ask for an overall rating review, and have decided to continue to work hard to improve the services we provide at the home and to maintain changes to our systems and processes as all good providers should.
“Three of our other homes have been inspected by CQC since October 2015, and all have achieved a good rating. We therefore look forward to the next inspection visit at Sistine, confident that a good rating will be awarded.”