The Care Quality Commission (CQC) has again rated Gorton Parks Care Home in Manchester, as inadequate following an inspection in January.
Gorton Parks Care Home, ran by Advinia Care Homes Limited, is a nursing home providing personal care and accommodation to 57 adults including those with physical disabilities and people living with dementia.
CQC carried out this inspection to follow up on concerns found at the previous inspection. During this inspection, there were six breaches of regulation regarding person-centred care, safe care and treatment, nutrition and hydration, poor management, leaders not ensuring staff had appropriate skills and insufficient staffing.
Following the inspection, the ratings for caring and responsive have gone down from requires improvement to inadequate. Well-led, effective and safe have been rated inadequate again.
The service remains in special measures which means it will be kept under close review by CQC to keep people safe and it will be monitored to check sufficient improvements have been made. CQC has also begun the process of taking regulatory action to address the concerns which Advinia Care Homes Limited has the right to appeal.
Victoria Marsden, CQC deputy director of operations, north-central adult social care, said:
"When we inspected Gorton Parks, it was deeply concerning to see very little improvement had been made since we last visited. Leaders weren’t managing the service well and we continued to see people being placed at risk of neglect and poor care.
“Leaders failed to investigate several incidents of aggression between people living at the home and towards staff, to prevent them from happening again and to keep people safe.
“Staff offered little or no support to people when they became distressed or agitated. We saw people shouting and one person pacing the floor upset, but nobody intervened to support them or offer some comfort.
"Our inspectors saw that people’s basic care needs weren’t always met, and staff didn’t complete people’s care plans to include details about their preferences and wishes. People’s oral hygiene, weight management and nutritional intake wasn’t monitored effectively, and we received several concerns from relatives about this.
“There was a notable lack of meaningful engagement with people. Many individuals spent long periods isolated in their bedrooms, and staff didn’t consistently ensure their basic comfort needs were met, including regular access to food and drink.
“We have told leaders where we expect to see rapid, and continued improvements and will continue to monitor the home closely to keep people safe during this time. We have begun the process of taking regulatory action in order to protect people further.”
Inspectors found:
- Inspectors found broken and unplugged safety equipment and sensors which should have been used to keep people safe from harm
- Leaders didn’t listen to concerns about safety and didn’t investigate and report issues.
- People were still unable to access the garden area and fresh air when they wished, despite this concern being raised at the previous inspection.
- Gorton Parks didn’t assess people’s needs and risks properly meaning they could be placed at risk of unsafe care.
- Staff didn’t ensure people received their medications safely.
- Leaders didn’t ensure staff received support, supervision and development to carry out their roles effectively.
- Staff didn’t always protect people from the risk of infection.
- Inspectors found broken or unplugged safety equipment and sensors which should have been used to keep people safe from harm