Care home placed in special measures following damning report - The Stratford Observer

Care home placed in special measures following damning report

Stratford Editorial 29th Dec, 2023 Updated: 29th Dec, 2023   0

A CARE home in Stratford has been placed in special measures to protect residents.

The Care Quality Commission (CQC) has rated Scholars Mews Care Home

inadequate following an inspection in October.

The inspection was prompted in part due to concerns received about safeguarding, unsafe staffing numbers and risk management regarding falls.




And all areas of the Scholars Lane home were found to be inadequate, including being safe, effective, responsive, caring and well-led. The service was previously rated good overall, and also good in all individual areas.

The home, run by Avery Homes (Nelson) Limited, is a residential care home providing accommodation with personal care for up to 64 people.


Being placed in special measures means it will be kept under close review to ensure residents are safe and, if CQC do not propose to cancel the provider’s registration, there will be a re-inspection to check for ‘significant’ improvements.

Amanda Lyndon, CQC deputy director of operations in the midlands, said: “When we inspected Scholars Mews Care Home, we found a home where poor leadership had resulted in a significant deterioration in the standard of care being provided since our last inspection.

“We found very serious concerns regarding safeguarding procedures, safe staffing and the management of risks to people’s health and well-being. Staff didn’t have the right skills to support people safely and we heard people being spoken to disrespectfully. People’s needs were not being met which the provider must address urgently.

“Throughout the inspection, staff shared examples with us where they had witnessed poor care practices. One staff member had instructed someone not to ring their assistance bell at night in a derogatory manner. Another staff member carried out personal care with someone whilst they were lying in urine soaked sheets without changing them which is totally unacceptable and undignified.

“We also saw one person’s care plan that instructed staff to be firm with them and show them their soiled clothing and hands if they had been incontinent which is abusive behaviour and totally inappropriate.

“In addition, the provider did not ensure staff had the right skills which put people at risk of not having their needs met. A healthcare professional and staff at the home told us they were really concerned that people weren’t being supported properly and were at risk of falling due to insufficient staffing numbers.

“Some staff tried their best to provide compassionate care to people, had raised concerns, and were dedicated to making the required improvements at the home, but were let down by poor leadership.

“We will continue to monitor the service closely to ensure the necessary improvements are made and keep people safe during this time. If improvements are not made by the time we next inspect, we will not hesitate to take further enforcement action.”

Avery Healthcare told The Observer it had acted immediately following the findings.

A spokesperson said: “We are dedicated to delivering high-quality care and service to our residents and families. We take the findings in the report extremely seriously and have taken immediate actions to address the concerns raised. We have a new leadership team in place at Scholars Mews, supporting our staff team and are working with CQC to ensure we consistently meet the regulatory requirements.”

CQC inspectors found:

* Allegations of abuse were not always reported in a timely way. Where allegations were reported, appropriate action was not always taken to keep people safe.

Injuries to people were not always recorded, reported, or investigated.

* People were not always treated with respect and compassion. People’s privacy was not always respected and promoted.

* People were not always supported as individuals, or in line with their needs and preferences. There was a culture where staff encouraged people to stay in their bedrooms.

* Risks to people’s health and well-being were not always managed safely.

Medicines weren’t always stored or disposed of safely.

* Staff competency was not always assessed to ensure staff had the right skills to deliver safe and effective care.

* There was limited evidence to show how people were supported to express their views and make decisions about their care.

* The provider and senior leaders failed to ensure the home had the right level of support, competency, and skill to provide people with safe, effective, and compassionate care.

* The provider’s systems and processes for monitoring the quality of the service were not effective.

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