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A care home in Darwen has been placed in special measures after being rated as inadequate by the Care Quality Commission (CQC).
A spokesperson for Sandybrook House, which cares for people living with mental health, physical disabilities, sensory impairments and dementia, said they were “deeply disappointed” by the test results.
There has been no improvement since the previous evaluation, which was rated as “improvement required” in September 2020.
Inspectors found problems with medicines, risks, infection control, recruitment, staffing, facilities, training, staff support, activities, records and management.
Inspectors judged the service to be “unsafe”, adding that people were “at risk of avoidable harm”.
People at home are said to be supported when it comes to eating a healthy, balanced diet, but inspectors say people who need thicker liquids, which can be administered to patients who have difficulty swallowing, There was no guarantee that they would receive it.
Some people had crash mats to protect themselves if they fell out of bed, but no sensor mats were installed.
Inspectors said if someone fell, “it may not be noticed by staff for some time.” It may take more than 2 hours. ”
The report also criticized the site for not having enough staff, despite staffing issues being raised internally and externally.
Inspectors said the provider did not have effective controls in place. The home currently has no registered manager, but a new manager has reportedly been recently hired.
The inspection found staff were difficult to find, with some care home residents sitting in lounges and staff not always available.
One person at the care home told inspectors: ‘I think they are short staffed because they have to wait to go to the toilet.
“I’m here alone and I need staff to help me. Sometimes I wait years for the bell to ring.”
One staff member said: “It can be overwhelming at times, but overall it’s okay.
“There were days when we only had two staff members. Everyone was really fed up. I hope things will change with the arrival of a new manager.”
Another staff member said: “My number one suggestion is to increase the staff. I never raised it before because I didn’t feel like I could do it under the old manager.”
According to staff, some activities, such as Sunday bread baking, are often not held due to staff numbers.
Inspectors also highlighted issues with recruitment records, adding: “There are several gaps in staff records.”
Issues also emerged regarding the training of staff.
Although an induction program was in place for new employees, staff reportedly did not always receive regular supervision support and training was not always up to date.
One staff member said, “(I) have no training on nutrition or diabetes. I asked the old manager, but nothing happened.”
Although the home “appeared to be clean,” it was determined that multiple infection control measures had not been proven to be safe.
Inspectors found underwear in the communal restroom, but there was no soap in the communal restroom dispenser.
Inspectors found potentially dangerous paint in unlocked rooms and cupboards.
The report said medicines were not always managed safely, meaning people were being put at risk.
“Pill counts do not always match records, meaning we do not know whether people always received their medication as prescribed,” the report said.
The report said people in the home “were not always supported, cared for, treated with dignity and respect.”
However, some residents we spoke with said that the staff “responded well.”
One said: “I’m treated well by the staff. They don’t yell at me or hold my hand sometimes when I need someone to keep me company. I forget things.” But the staff just reminds me so I don’t feel stupid.” ”
A Sandybrook House spokesperson said: “We are obviously very disappointed with the results of the CQC inspection of Sandybrook House, which has undergone a period of instability.
“With new management in place and supported by our regional oversight team, we are working on an action plan to address the concerns raised by inspectors and demonstrate improvements in areas where we believe there are deficiencies. I’m here.
“These improvements are on track and have been shared with the contract management team.”
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