Homelands Nursing Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Inadequate

• Responsive

  Inadequate

• Well-led

  Inadequate

Our view of the service

Dates of assessment 09 January to 30 January 2025. Homelands Nursing Home is a care home, providing accommodation, nursing and personal care to people. The Manor House supports people with nursing needs and the Coach House supports people with nursing needs and advancing dementia. Although the registered manager oversaw both houses, people living in the Manor House had a more positive experience than those living in the Coach House. Some people were subject to restrictive practices when supported by staff. Incidents and safeguarding concerns were not always responded to, which meant staff and management did not put actions in place to mitigate reoccurrence. We found shortfalls relating to, staff recruitment, training and supervision. Areas of the service were undergoing refurbishment, this impacted on the safety of people and the effectiveness of infection prevention and control practices. However, staff used personal protective equipment appropriately. Assessments were not completed to identify risks to people’s health, safety and welfare whilst building works were being completed. Medicines were not always managed safely. Governance processes did not highlight that people were not receiving person-centred care through staff practices. We identified 5 breaches of the legal regulations in relation to safeguarding, safe care and treatment, person-centred care, consent and good governance. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

Some people and their relatives were not aware of who was running the service; however, they told us they felt it was generally well-led. Comments included, “To be truthful I don’t know (the registered manager). I’ve only spoken to the nurses. I think the home is well managed. Everything seems to be okay.” And, “I don’t know the manager. Not talked to them. I talk to the senior nurses.” People and their relatives gave mixed feedback about the staff. A person told us, "They are looking after me well. The staff are good." A relative told us, “The nursing staff are good. But the care and compassion is not consistent.” There were mixed opinions on the skills and training of staff. One relative told us, “Carers could definitely improve in skills and need more training.” A person said, “In some places staff don’t care, here they are very good.” People and their relatives were not always involved -in the planning of their care. There was no evidence in people’s care plans to demonstrate their opinions and wishes had been sought. A relative told us, “I don’t know about a care plan. I don’t remember signing any paper, i’ve not had any documents.” People said they felt safe living in the service, most relatives told us they had no concerns of safety. Comments included, “Yes I do feel safe, having staff around makes me feel.” A relative said, “[Person] has sores and is confined to bed. [Person] has bruises, they are aggressive and has dementia. They (staff) are very good at ringing me up and the GP has prescribed medicines to reduce [person’s] aggression. The carers are giving [person] more personal time and turn them in bed now.” People enjoyed the food, comments included, “The food looks lovely” and, “They (staff) just encourage with sandwiches and jellies. [Person] is supported to eat little and often.” While the people we spoke with expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards.