In­spec­tors crit­i­cise ‘in­ad­e­quate’ care home


ONE OF the com­mu­nity’s largest res­i­den­tial homes has been deemed “not safe” af­ter a Care Qual­ity Com­mis­sion in­spec­tion which found it fail­ing in all ar­eas.

Don­isthorpe Hall in Leeds, which op­er­ates close to a ca­pac­ity of 189, was also found to be “not ef­fec­tive” and “not well led”. The over­all rat­ing of “in­ad­e­quate” is the CQC’s low­est and the com­mis­sion said the home was in “spe­cial mea­sures”. Don­isthorpe chiefs claim that im­prove­ments have been im­ple­mented.

The damn­ing in­spec­tion re­port, re­leased last week, fol­lows an unan­nounced visit in June. The pre­vi­ous in­spec­tion 18 months ago found the home “re­quires im­prove­ment”, the reg­u­la­tor’s sec­ond-worst rank­ing.

On that oc­ca­sion, among the re­ported de­fi­cien­cies were that res­i­dents were “not pro­tected against the risks as­so­ci­ated with un­safe man­age­ment of medicines” and that “staff were not ad­e­quately trained”.

Don­isthorpe promised to rem­edy the prob­lems by March of this year but the lat­est in­spec­tion found that “the provider had not com­pleted their plan of ac­tion and le­gal re­quire­ments were still not met. We also found ad­di­tional breaches.”

The home — which re­ported a loss of £250,000 in its last ac­counts — will now be closely mon­i­tored and sub­ject to an­other in­spec­tion within the next six months, said CQC press of­fi­cer Mark Humphreys.

“If im­prove­ments have not been made to a re­quired stan­dard, CQC can take fur­ther ac­tion, which the in­spec­tion team will con­sider.”

Is­sues recorded in the lat­est in­spec­tion in­clude com­plaints from three res­i­dents re­spec­tively about “un­ex­plained bruis­ing to both wrists”, feel­ing “ne­glected” and hav­ing “been in­jured at the be­gin­ning of June 2015 when re­ceiv­ing per­sonal care”.

With re­gard to the lat­ter com­plaint, the CQC was told by “a nurse in charge [that] the in­jury occurred be­cause staff had not fol­lowed the per­son’s care plan and had used in­cor­rect equip­ment when bathing the per­son”.

The CQC pointed out that “at the [pre­vi­ous] in­spec­tion, we re­ported that some staff were not look­ing at care plans to find out about peo­ple’s needs. At this in­spec­tion, we found this had not changed.”

One pro­fes­sional in­volved with the home told the in­spec­tors about a “short­age of trained staff; a lack of ex­pe­ri­ence on the floor and [that] staff were leav­ing. New nurs­ing staff felt un­sup­ported.”

Only “a low per­cent­age” of staff had

Chief op­er­at­ing of­fi­cer Jo Cross­land claims Don­isthorpe is back on track fin­ished the nec­es­sary train­ing, with none of the 250-plus employees hav­ing com­pleted in­struc­tion on safe han­dling of med­i­ca­tion.

Hardly any had com­pleted food hy­giene train­ing, just 14 per cent were fully trained in de­men­tia aware­ness and barely a third in health and safety. The in­spec­tors were told that the home was “wait­ing for cer­tifi­cates to ver­ify the train­ing which had been com­pleted in Oc­to­ber/Novem­ber 2014 and would then in­put this data on the ma­trix.

“We asked to see ev­i­dence that staff knowl­edge and im­ple­men­ta­tion was checked fol­low­ing com­ple­tion of spe­cific train­ing cour­ses. This was not pro­vided.”

Speak­ing this week, Don­isthorpe chief op­er­at­ing of­fi­cer Jo Cross­land at­trib­uted th­ese fail­ings to “in­ad­e­qua­cies in our record keep­ing re­gard­ing the mon­i­tor­ing of staff train­ing”.

The­home­had“com­plet­edtheim­ple­men­ta­tion of an elec­tronic record sys­tem as well as ap­point­ing a train­ing co-or­di­na­tor whose re­spon­si­bil­ity is to or­ches­trate ex­ter­nally f aci l i t at e d train­ing for staff at all lev­els”.

Ms Cross­land, who took up the post i n Jan­uary, added that Don­isthorpe had re­cently ap­pointed a man­ager of the home to “com­plete our man­age­ment team”. It had also re­cruited a phar­ma­cist “to sup­port with the im­ple­men­ta­tion of a com­plete new med­i­ca­tion man­age­ment sys­tem”.

She ac­knowl­edged that the home had been us­ing “out­dated sys­tems in terms of ev­i­dence-based prac­tice and 21st-cen­tury think­ing” but main­tained that is­sues of con­cern had been ad­dressed since the June in­spec­tion.

If the home is found to still be “in­ad­e­quate” when the CQC next in­spects, the com­mis­sion will can­cel or vary the terms of Don­isthorpe’s reg­is­tra­tion un­less there is rapid im­prove­ment. Clo­sure is the ul­ti­mate sanc­tion.

Few staff had com­pleted the rel­e­vant train­ing


The reg­u­la­tor can close the home if stan­dards do not im­prove

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