A nursing home in South London has been rated as “inadequate” by the Care Quality Commission, with inspectors its inspectors concluding it was neither well-led nor caring.
CQC inspectors judged the Jesmund Nursing Home in 31 York Road, Sutton, to be “inadequate” for both being caring and well-led, and as “requires improvement” for being safe, effective and responsive.
“We are considering any additional action that we may need to take”
As a result, it was placed in the “special measures” support regime for struggling providers, with follow-up inspections due in the near future.
The home provides accommodation and nursing care to up to 25 older people. At the time of CQC’s inspection in February, there were 22 people using the service, most of them living with dementia.
Following the inspection, the CQC said provider remained in breach of regulations relating to safe care and treatment, dignity and respect and good governance.
During a previous inspection in August 2016, the regulator had issued warning notices relating to safe care and treatment, premises and good governance.
At the latest visit, the regulator said it found some of its previous concerns had “not been sufficiently addressed and there was a risk of significant harm to the people using the service”.
“Risk assessments were not updated in response to incidents that occurred and staff did not provide people with the level of support they required to remain safe,” said the CQC in its report.
“Our observations showed staff continued to not treat people with the dignity and respect they deserved and did not always provide people with kind, caring and compassionate support,” said the regulator.
It added: “We observed staff ignoring people’s requests for assistance, there were delays in providing people with the support they needed and often staff were focused on the task they were performing rather than people’s wellbeing.”
“Our observations showed staff continued to not treat people with the dignity and respect”
However, the latest inspection did show some improvements had been made since the last visit, said the CQC.
The registered manager and nursing staff had reviewed and updated care records, and the manager had liaised with other health and social care professionals to review residents’ mental capacity and organised for “best interests” meetings to be held to ensure they received appropriate care.
In addition, the CQC said staff continued to provide people with the support they required with nutritional needs and receiving medicines, as prescribed.
Staff also received regular training and supervision, there were regular staff meetings to obtain views about the service and there were enough staff employed to meet the needs of residents.
“Nevertheless, the provider remained in breach of regulations relating to safe care and treatment, dignity and respect and good governance,” said the CQC. “The overall rating for this service is ‘inadequate’ and the service is therefore in special measures.”
Debbie Ivanova, the CQC’s deputy chief inspector of adult social care, said: “We have taken urgent action to restrict any new admissions to Jesmund Nursing Home and requested weekly updates from the provider in regards to any incidents and accidents that occur and how these are managed.
“We are considering any additional action that we may need to take to further protect people from harm and will report on this when it is complete,” she said.
She said: “Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.
Nursing home accused of lacking ‘dignity and respect’
“The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe,” she added.
“If not enough improvement is made within this timeframe and there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service,” said Ms Ivanova.
Nursing Times has asked the nursing home for a response. A representative told a local newsletter that they thought “some parts” of the CQC report “were quite severe”.
“But the home has taken it very seriously and we are moving forward and have reacted very positively,” they told the Sutton Guardian.
“The home is reacting to each part in the report, and we have to make sure that our responses are sustainable,” they added.