Qu'Appelle Care Home in Bourne is rated inadequate by the Care Quality Commission
A Bourne care home has been put back into special measures after being rated inadequate in its latest inspection.
Care Quality Commission inspectors visited the family-run Qu’Appelle Residential Care Home in May after receiving concerns about management of the service.
They found breaches over aspects of people’s safety and governance and rated the home inadequate overall, and specifically in two of their five key questions where the service was deemed to be ‘not safe’ and ‘not well-led’.
While in special measures the service will be kept under review and re-inspected within six months.
If improvement are not made and any rating remains inadequate, the CQC can cancel the care provider’s registration or vary their conditions of registration.
Looking at infection prevention and control they found staff did not always wear PPE correctly, posing a risk of infection, while ‘risks associated with Covid-19 had not always been identified, assessed and mitigated’.
It also found ‘medicines were not managed safely’, residents did not always receive prescribed medicines and staff competence was not clearly assessed.
In one case, a resident did not receive prescribed medicine to aid bowel movements for 18 days and pain relief for 17 days because they were not in stock.
"Medical professional records showed staff did not follow this up with a GP or pharmacy during this time," the report said.
"This meant the person was exposed to the risk of avoidable pain and discomfort."
It found residents' care needs were not reviewed regularly, with one care plan reviewed just three times between July 2019 and April 2021.
There were also concerns ‘safe staffing levels were not calculated accurately’, particularly after staffing was cut last November, while records kept at the Harrington Street home ‘did not assure us staff were adequately trained’,
“Staff consistently told us there was not enough staff," it continued.
"Records showed staffing levels deployed in the service were inconsistent for the morning shifts and the number of staff varied.
“There were two shortfalls in a period of six months which were not addressed.”
Failures to manage risks were also found, 'increasing the likelihood of people tripping and falling'.
Qu’Appelle Care Home was put into special measures over serious safety concerns in May 2019 which were maintained after a follow-up inspection in November 2019.
It was taken out of special measures in February last year after upping its rating to 'requires improvement'.
The CQC's other key questions were not scrutinised in the latest inspection and the care home remains rated good for 'effective' and 'caring', and requires improvement for 'responsive'.
The report also concluded that staff understood how to keep people safe, and felt supported by internal management, but not by the provider.
The care home did not wish to comment during ongoing work with Lincolnshire County Council on the report findings.