A MARCHWOOD care home for older people and dementia sufferers fell below standards again at its latest inspection.
Oaklands Rest Home was rated ‘requires improvement’ by national watchdog the Care Quality Commission (CQC) – the same grading it was given in September 2018.
A new report revealed CQC inspectors turned up at the Veals Lane facility unannounced in July, when 21 people were being nursed under a single care package.
But concerns were raised by the CQC which led to the home rated below standards in terms of being safe, effective, responsive and well-led. It was ‘good’ at being caring, the inspectors added.
The CQC report noted after the last inspection the provider of the home, Marlacourt Limited, had not submitted an action plan to show what it would do to improve, as had been expected.
Summing up the latest inspection, it added: “At this inspection enough improvement had not been made/sustained and the provider was still in breach of regulations.
“The service remains rated ‘requires improvement’.”
The report said systems to assess, monitor and improve the safety and quality of the service, or those to manage the prevention and control of infections, were “not always effective”.
Risks had not always been mitigated, while robust processes were “not always followed” when checking staff for suitability before they were employed.
Residents’ social and mental stimulation needs were not consistently being met, the CQC said, and while the provision of activities for people was better it still needed “continued improvements”.
The inspectors made recommendations to the home’s provider.
While residents were given support to eat and drink enough to meet their needs, the CQC said the service should “service seek advice and guidance from a reputable source” about best practice mealtime provision for people living with dementia.
The CQC added it should also get guidance on how it can review and implement least restrictive practices for people.
On a positive note, there were sufficient staff and they were aware of their responsibilities in relation to safeguarding and felt confident raising concerns with Nicola Ray, the registered manager.
The management, storage and administration of medicines was safe and the service had an online training and development programme which enabled the registered manager to monitor any shortfalls in staff training requirements.
Healthcare professionals gave positive feedback about the service to the CQC, and people there were, on the whole, supported and treated with “dignity and respect”, the report added.