Care home ‘still needs to im­prove’

Southport Visiter - - Front Page - BY CHRISTY BYRNE [email protected]­i­tymir­ror.com @ByrneChristy

ABIRKDALE care home has been told it must im­prove by the Care Qual­ity Com­mis­sion (CQC).

Rowan Tree Lodge, on Dover Road, was in­spected at the end of last month, and the CQC’s re­port rated it as “re­quires im­prove­ment” in three out of the five ar­eas con­sid­ered.

The CQC visit was unan­nounced fol­low­ing an in­spec­tion un­der pre­vi­ous man­age­ment in April this year that found short­com­ings in the care home.

New man­age­ment has been in place since Au­gust, but, while prais­ing some ar­eas, the CQC found that there were still is­sues present.

The re­port said: “We could not im­prove the rat­ing for ‘safe,’ as we found ad­di­tional con­cerns.

“We will check this dur­ing our next planned com­pre­hen­sive in­spec­tion.

“As­pects of the ser­vice’s fire safety and pre­ven­ta­tive care needed to be more ro­bust to pro­tect peo­ple.

“Fur­ther de­vel­op­ment of peo­ple’s ‘as re­quired’ and ‘as di­rected’ medicines care plans was re­quired to guide staff clearly and en­sure timely ad­min­is­tra­tion.

“The ser­vice recorded and checked medicines ap­pro­pri­ately. Clean­li­ness of the laun­dry had im­proved, some com­mu­nal spa­ces and car­pets needed at­ten­tion.

“The provider had car­ried out re­pairs to the build­ing.

“There were enough staff and those we checked had been re­cruited ap­pro­pri­ately, although ref­er­ences needed clar­i­fi­ca­tion.

“Staff knew about safe­guard­ing pro­ce­dures and were con­fi­dent to whis­tle-blow to other bod­ies if needed.”

The CQC said it could not im­prove the rat­ing of the “re­spon­sive” cat­e­gory as ad­di­tional con­cerns were found that will be checked at the next in­spec­tion.

The re­port said: “In­for­ma­tion in peo­ple’s care plans was still not al­ways con­sis­tent with the ac­tual care staff pro­vided.

“In­for­ma­tion recorded in care plans did not al­ways lead to timely in­ter­ven­tion to meet the per­son’s needs.

“Peo­ple told us about times when care was not per­son-spe­cific and they did not al­ways feel lis­tened to.

“How­ever, we also ob­served some good per­son-cen­tred care and knowl­edge by staff.

“Lis­ten­ing to peo­ple and in­volv­ing them in de­ci­sions over their care needed to be­come more nat­u­ral and reg­u­lar. Ac­tiv­i­ties were still be­ing de­vel­oped.”

The rat­ing of the “well-led” cat­e­gory was also un­able to be im­proved.

The re­port said: “There was a new man­ager in post who was in the process of ap­ply­ing to reg­is­ter with CQC.

“Peo­ple and rel­a­tives were still get­ting to know the new man­ager.

“Record­ing and mon­i­tor­ing tools were not al­ways used ef­fec­tively to en­sure safe, qual­ity care.

“This in­cluded check­ing of the en­vi­ron­ment, as well as the care peo­ple re­ceived and the plan­ning of it.

“The area man­ager had im­proved care plan au­dits, how­ever these had not al­ways led to cor­rec­tive ac­tion and needed fur­ther de­vel­op­ment.

“Reg­u­lar meet­ings took place for res­i­dents, rel­a­tives and staff.”

But the rat­ings for whether the home was “ef­fec­tive” and “car­ing” were noted as be­ing good.

Staff were praised for their un­der­stand­ing of peo­ple’s in­di­vid­ual needs, were well trained and car­ried out their roles ef­fec­tively.

The CQC added: “The home pre­sented with a friendly and warm en­vi­ron­ment.

“Peo­ple told us they care from po­lite and re­spect­ful staff. This we ob­served dur­ing the in­spec­tion.

“Peo­ple and their rel­a­tives were in­cluded in de­ci­sions about their care and sup­port.”

Rowan Tree Lodge has been told it still re­quires im­prove­ment

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