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The former parsonage in Wigmore, near Leominster, was rated ‘requires improvement’ after a surprise inspection in January.
The home on Ford Street supports 13 elderly people, some of whom have dementia. In an inspection in August 2017, it was judged to be in good condition.
The latest Care Quality Commission (CQC) inspection took into account the length of time since the last inspection and focused on looking at safety and leadership in care homes. However, after problems were found during the inspection, CQC decided to widen the scope of its report to also assess how effective and considerate the home was.
The report said that “services were not always safe, effective, caring or well-led”, which meant “people were at risk of harm and were unable to care and support people”. “The effectiveness of the system does not necessarily translate into positive outcomes and means people are not always supported.” , treated with consideration and respect, service management and leadership were inconsistent. ”
In one reported case, inspectors said residents did not know they were taking the drug because they were being given it “surreptitiously.” However, staff did not complete a mental capacity assessment to determine if this person was able to consent to taking the medication. “The provider was not always compliant with the Mental Capacity Act,” the report said.
“People can only be deprived of their freedom to receive care and treatment with appropriate legal authority. In care homes and some hospitals, this is usually done through a mental capacity assessment procedure. Masu.”
Other issues identified include a lack of support for residents to eat balanced meals, unsecured medicine cabinets and trolleys, and allegations of abuse or unknown causes. They cited an ineffective system in place for recording accidents and incidents, including one resident who sustained bruises.
There were also privacy concerns, with criticism of the glass panels on the walls and the display of incontinence products, which inspectors said was a violation of residents’ dignity. However, the CQC report said following feedback the home removed the sign and covered the glass panel.
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The CQC report said: “We identified breaches relating to risk, medicines, dignity, safety measures and governance controls. We told the provider to take action.”
“We will ask our providers to plan, we will work to monitor their progress, and we will continue to monitor their services, which will help inform us at the next inspection.”
It added: “Appropriate arrangements were not in place to ensure that people were consistently treated with dignity and respect.”
“Effective systems to assess, monitor and manage environmental, pharmaceutical and infectious disease risks were not fully in place.
“The process was not effective in protecting people from potential abuse.
“The system was not robust enough to assess, monitor and improve the quality and safety of services or to reduce the risks associated with people’s health and wellbeing.”
The report also outlined positive points, including that goats and chickens were kept on the property, which one resident said they enjoyed, and that The quick availability of drinks was cited.
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Our staff are also properly trained and courses are available to improve their skills and knowledge. They worked with other agencies such as GPs and nurses to ensure people had access to health professionals.
One resident told inspectors: “They’re always very nice, they know me as a person, not just a resident, and they’re very approachable.”
The Old Parsonage has been contacted for comment.
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