Uncomfortable findings from inspection

The Care Inspectorate report following the 72-year-old resident’s death found he “wasn’t protected from harm”.

Its findings are in stark contrast to a report released in June after Labour MSP Monica Lennon reported the home due to the high number of COVID-related deaths.

That gave a clean bill of health at the home, praising infection control procedures and cleanliness.

However, the earlier report – published in January 2020 – is a damning indictment of the home’s practices.

FINDINGS INCLUDED:

• Resident had lost a significant amount of weight, over a short period of time. There was no documentation which evidenced the actions taken and that the manager had been alerted to this’

• Minimal level of recording in care plan and daily notes;

• He did not always receive support with personal care including oral care;

• Staff said resident fell deliberately “seeking attention”, and no further investigation took place;

• His medication was not always administered as per prescribers instructions;

• Staff did not always respond promptly when people summoned help. Individuals who had no means of summoning help when they required this;

• Some staff did not refer to people experiencing care in a way that was courteous and respectful;

• Inspectors were not confident that staff were routinely documenting relevant information for people experiencing care. There was no consistency in recording;

• Safety of people was compromisedcleaning fluids kept in unlocked cupboards and an electricity fuse box lying open.

On the back of the report, the home was instructed to ensure staff got regular training and refresher training to ensure residents had their needs met safely; and ensure staff have the necessary skills and experience to assess when service users needed further assessment, investigations or treatment.