Two warnings have been issued to a Spalding care home following an inspection by the Care Quality Commission.
The inspection which took place between June and August at Brun Lea, Surfleet Road, found it was in breach of the legal regulation for safe care and treatment and good governance.
It was rated as ‘requires improvement’ and the inspection ‘identified significant concerns relating to the safety, effectiveness and governance of the service.’
Four out of the five key areas; safety, effectiveness, responsiveness and leadership all require improvement.
Only caring achieved a ‘good’ rating.
“Widespread issues were identified in relation to care planning, risk assessment, medicines management, Mental Capacity Act (2005) documentation and record keeping. Care plans were often incomplete, out of date or contained conflicting information, resulting in insufficient guidance for staff to deliver safe, consistent and person-centred care.
The report said there needed to be significant improvement in managing medicine, including storage and auditing.
“Leaders had recognised a number of concerns within the service and had begun implementing improvement plans, including seeking external support, reviewing governance arrangements introducing revised auditing processes.”
“The inspection identified issues across multiple areas of the service which should have been recognised and addressed,” the report said.
Staff did demonstrate caring and respectful interactions with people and showed a good understanding of individuals’ preferences and routines.
But while staff knew people well, there was limited evidence that care was ‘consistently planned and reviewed.
People with changing needs were not always ‘subject to timely review.’
“There was evidence of involvement from a range of healthcare professionals to support people’s health and wellbeing.”
People told the inspectors they were able to make decisions about their daily routines, food choices and how they wished to spend their time.
“While people expressed general satisfaction with their care, our assessment found care elements did not meet the expected standards. There were concerns that people’s experiences were not always supported by effective systems, accurate records and consistent care planning,” the report said.
