A Stoke-on-Trent nursing home has been told to improve its care plans and other ‘inconsistent’ management practices after being visited by inspectors.
The Old Vicarage Nursing Home, in Goldenhill, has now been rated as ‘requiring improvement’ for the third time.
Care Quality Commission (CQC) inspectors also revealed that some of the issues highlighted during a previous visit remain of concern – despite action taken by management at the time.
The Old Vicarage is run by Central England Healthcare (Stoke) Ltd and provides personal and nursing care for to 38 people, aged 65 and over. It has capacity to support up to 45 people.
The building is split into four separate wings – including one of which specialises in providing care to people living with dementia, and another which supports people on a short-term basis while they have a period of assessment.
The latest report praised the home’s positive approach to the learning and development of its staff. One member of staff told inspectors: “The opportunities are good.”
Residents at the home also praised the staff, with one saying: “There are staff around always. I press the bell and they come to me.”
Another said: “I think the staff numbers are OK. They are here to help me.”
Inspectors found that The Old Vicarage had continued to offer and deliver training to its staff throughout the Covid-19 pandemic, and in line with Government guidelines.
They noted, however, that some of the care plans which home prepared were standardised – meaning they had been pre-written and then slightly adjusted to meet individual needs.
Inspectors said they were not always adjusted accurately, which could lead to confusion.
They said that while care plan audits were in place, they were not always considered effective and they found that some contained contradictory information.
This was found to be an issue at the last inspection and continued to be an issue when inspectors visited in June.
The report stated:: “One person’s air flow mattress was on the incorrect setting. Neither their care plan nor documentation in their bedroom stated what setting the mattress should be on, so staff were unable to check when we asked them.
“Only ‘care team leaders’ had access to the information, which meant the systems in place left people at risk of receiving the incorrect care.”
It added: “At the last inspection, we reported that some interventions to manage risk needed to be better clarified in people’s care plans. Although the registered manager acted at the time, we found similar issues at this inspection.”
CQC inspectors spoke with 10 residents about their experience of the care provided.
They also talked with 11 members of staff – including the nominated individual, registered manager, senior care team leader, four care assistants, a member of domestic staff and the cook.
The CQC will continue to monitor information about The Old Vicarage until its inspectors return as part of their re- inspection programme. They may inspect sooner should any concerns arise.
Central England Healthcare (Stop) Ltd declined to comment.