The Care Quality Commission has judged the quality of care provided by a nursing home in the East Midlands to be “outstanding”, while another home in the North East has been told it must remain in “special measures”.
The Byars Nursing Home in Caythorpe, near Nottingham, provides accommodation and personal care for up to 30 older people, including people with dementia.
“The quality of care which our inspectors found here was exceptional”
Following an inspection in September, the CQC staff were caring and compassionate and people were being provided with safe, responsive, caring, effective and well-led care.
The Byars was rated “outstanding overall, “outstanding” for being caring, effective, responsive and well led and “good” for being safe, noted the CQC’s report.
Rob Assall-Marsden, CQC’s Head of Inspection for Adult Social Care in the central region said: “Our inspection team were impressed by the level of care and support observed.
“The service was managed by an experienced, knowledgeable and motivated registered manager who worked in partnership with other organisations to develop new and best practice,” he said.
Mr Assall-Marsden also noted that “positive relationships were cultivated” between residents, their relatives and staff, which resulted in “people being valued and an ethos of care that was person-centred and valued people as individuals”.
“People who used the service and relatives we spoke with consistently praised the skills of staff working in the service,” he said.
He added: “People receiving end of life care were treated love and compassion, as were their relatives and those that mattered to them.
Andrea Sutcliffe, the CQC chief inspector of adult social care, said: “The quality of care which our inspectors found here was exceptional.”
In contrast, Donwell House, a care home in Tyne and Wear, must remain in special measures, after the CQC again rated it as “inadequate” following an inspection in October.
Donwell House in Washington provides care for up to 63 people in two wings – one with two residential care units and the other comprising two nursing units.
This service was previously inspected in March this year, and rated “inadequate” after CQC inspectors found several breaches of the Health and Social Care Act 2008.
There were no specific and detailed strategies for staff to follow in relation to how to support residents and care records had not been updated to reflect changes in need.
Drugs were not managed in a safe way, said the CQC. There was conflicting information in care records about the form of medicines, for example crushed medicines and liquids.
“We were very concerned about the lack of risk assessments at the service”
There was no evidence of mental capacity assessments, best interest decisions or specific care plans in relation to those whose GP had stated they could have drugs administered covertly.
Protocols for the administration of “as and when required” medicines were often not in place, and those that were in place lacked specific detail to guide staff on when to administer drugs.
The CQC’s report added that there was limited engagement and interaction from some staff during mealtimes.
“We observed one person was supported by three different staff during one meal, another staff member was observed to be touching a person’s mouth with a spoonful of food prompting them to open their mouth whilst they were still eating,” said the CQC.
Debbie Westhead, deputy chief inspector of adult social care in the North, said: “We found that the care provided at Donwell House fell a long way short of what we expect services to provide.
“We were very concerned about the lack of risk assessments at the service,” she said. “For example, people with swallowing difficulties had no risk assessments completed in relation to choking, potentially endangering their safety.
“The way medicines were handled at Donwell House was also a real cause for concern,” she added.