Caritate Nursing Home

We identified two breaches of the legal regulations.

Risk assessments were in place but there was limited guidance for staff supporting people who required PEG feeds. Systems for the management of medicines required improvement. Recruitment policies had not always been followed.

However, staff were aware of safeguarding processes and were confident about raising concerns both internally and externally. People were supported in line with legislation covered by the Mental Capacity Act. Records showed mental capacity assessments were completed meaningfully and efforts were made to involve people in decision making processes. There were enough staff to support people with their personal care. Agency staff were used to cover any gaps in the rota.

Assessments were completed before people moved into the service. These were updated regularly so staff were aware of people’s current needs. Where appropriate relatives were involved in care plan reviews. People were asked for their consent before any personal care was provided. Staff were aware of people’s preferences and were person-centred in their approach.

We found a breach of the legal regulations.

Auditing systems were not robust. Records of incidents were not consistently analysed to help identify patterns and themes. Action plans were not developed in response to identified concerns. However, a new manager had been appointed and had identified areas for improvement. The manager was working with staff to proactively drive improvement in the service. Staff were positive about the changes.