Inspectors find Chester care home services ‘not always safe’
A Chester care home has been told it needs to improve its safety and leadership following an unannounced inspection. The Care Quality Commission (CQC) visited Chester Lodge Care Home in March and classified it as ‘improvement required’.
Two inspectors used the information gathered during their surveillance activity which took place on November 23 last year to help plan the inspection and inform their judgement. The inspection report said the service was “not always secure”, but was efficient and responsive.
Noting that security needed to be improved, the report said: “This meant that some aspects of the service were not always secure and there was limited assurance about security. There was an increased risk of people being injured.
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“Risk assessments and care plans were in place, but not always sufficiently detailed. Some monitoring and review paperwork was confusing; or incorrectly completed. risks were safely managed for individuals.
“One person required that a thickening agent be added to all fluids due to an aspiration hazard. The systems in place to identify and monitor hazards had failed to determine whether storage arrangements would pose a risk to other people living in the service.
“A number of people asked for prescribed creams to be applied to their bodies. A number of instructions lacked detail on what part of the body the cream should be applied to.”
In terms of good conduct, the inspectors found: “Regular audits and checks to review the quality of care provided were not always effective or robust enough. The new registered manager had introduced additional audits to monitor the quality of care provided. security, but these need to be integrated in practice and, in some cases, be more robust and detailed.
On a more positive note, regarding efficiency, the report states: “The registered provider introduced a new provider and training system. Improved records of completed training are now kept.
He added: “Staff were aware of people’s needs and preferences. Important information was recorded and staff were kept informed of any changes in people’s care needs.”
The CQC said: “We will meet with the supplier after this report is published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to follow up progress. We will continue to monitor information we receive on the service, which will help inform during our next inspection.”
In response to the report, Angela Higginson of Chester Lodge Care Home said: ‘We are delighted to have upgraded our rating to ‘good’ for responsiveness and efficiency and to have considered the advice given by the CQC regarding the improvements needed to achieve the We look forward to a further inspection to demonstrate the measures we have put in place to achieve an overall ‘good’.”
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