Care home ‘did not ensure people were kept safe and protected from harm’

A Fenland care home failed to “ensure people were kept safe and protected from harm,” a damning Care Quality Commission (CQC) report has revealed.

The report, published earlier this month, gave Delph House in Welney, Wisbech, a rating of “requires improvement.”

This represents a slip in standards from the previous inspection, conducted in 2019, after which the CQC awarded it a “good” rating.

The CQC carried out an inspection in March this year after it received “concerns in relation to the safe care and treatment of people supported.”

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At the time of the inspection, the care home provided personal care and accommodation to 19 people aged 65 and over.

The “focused” inspection reviewed two key assessment points to determine if the care home was “well-led” and “safe” and found that Delph House required improvement in both categories.

“The overall rating for the service has changed from good to requires improvement,” the report reads.

“This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement.”

The report says Delph House was “not always safe” and there was an “increased risk” people could be harmed.

“People’s care environment was found to be visibly unclean with some safety concerns also identified,” it reads.

“Commodes were evidenced to be rusty and unclean,” the report continues.

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“Pressure cushions used were unclean. Carpets were observed to be stained, and walls in some communal areas and bedrooms were damaged and marked.”

The report also found systems at the care home “were not robust” at reducing the risk of infection.

“We were not assured that the provider was admitting people safely to the service,” the report reads. “One person who had recently moved into the service was not in isolation in line with Government guidance.

“The risk of not isolating the person had not been assessed. No extra precautions had been taken to reduce any possible spread of infection.”

However, the report does say inspectors were “somewhat assured” that Delph House was taking steps to ensure infection outbreaks could be effectively prevented or managed.

Inspectors were also “somewhat assured” that Delph House was taking precautions to stop visitors catching and spreading infections, as both inspectors were asked to present proof of a recent negative Covid-19 test upon arrival.

The report also says “safe medication practice had not been consistently followed” and “appropriate action had not been taken where potential safeguarding concerns had been identified.”

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On the question of whether Delph House was well-run, the CQC report also rated it as “requires improvement.”

Inspectors found “gaps in medicines records, cleaning records, personnel files and care records.”

The report continues: “Some health and safety checks had also not been effective and concerns had not been identified internally.

It adds: “Care plans failed to identify risks in relation to unsafe items not being stored securely within the home, environmental factors such as unsupervised access to the stairs and the potential risk for those with mobility issues and risks relating to COVID-19.”

The CQC instructed Delph House to send them a report confirming the action they planned to take to rectify the problems.

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