Crowley Care Homes Ltd - St Annes Care Home

We identified 2 breaches of the legal regulations in relation to safe care and treatment and the premises and equipment being unsafe.

The provider had not always ensured staff followed safeguarding policies and procedures. The provider did not always assess or mitigate risks to people’s health and safety. Care plans and risk assessments in place for people were not always detailed or accurate. The provider was not ensuring the environment at the service was safe. Staff were not always recruited safely, we identified gaps in recruitment records during this assessment.

We identified 1 breach of the legal regulations in relation to meeting people’s nutritional and hydration needs. People had not had their nutritional needs adequately assessed and the provider failed to provide people with food that met their needs and choices.

During the inspection we observed staff treating people with kindness and respect. People provided positive feedback about how staff supported their independence. However, People’s care plans lacked detail about people’s choices and needs.

We identified 1 breach of the legal regulations. Care plans were not person centred and staff did not have enough guidance to ensure people were supported in line with their preferences. We received mixed feedback about the social stimulation and activity that was available to people. The environment was not designed in a person-centred way. In the main people’s relatives told us they had been involved in planning people’s care. Processes in place did not ensure people were supported to plan their future care while they had the capacity to do so. The provider ensured people had access to information in formats they could understand. Processes to manage complaints were not fully implemented. The provider worked with local stakeholders to ensure continuity of care for people.

We identified 1 breach of the legal regulations. The governance systems in place at the service were not effective in identifying areas for improvement and taking action to improve the service. Although systems were in place to support staff, we received mixed feedback from staff about the management and leadership of the service. There had been no improvement at the service since our last inspection and some areas of the service had deteriorated.