16 November 2023
During a routine inspection
Homefield provides nursing and personal care and support to older people, some of whom were living with dementia. At the time of the inspection, there were 41 people using the service.
People’s experience of using this service and what we found
People were not always protected from risks associated with their care and support. Risks were not always comprehensively assessed and documented within care plans and records. The service did not always work within the principles of the Mental Capacity Act (MCA). Systems and processes in place for managing and administering medicines was not always safe. We have made a recommendation to the provider referring to best practice for medicines management.
Care plans did not always identify and or reflect details of individual preferences or contain correct information about people’s needs, wishes and the support they needed to make decisions. Systems and processes in place for monitoring the quality and safety of the service were not effective in identifying the issues and concerns we found at this inspection. Actions were taken during and after the inspection to address these issues and concerns.
People told us they felt safe. Staff knew what action to take if they had any concerns. Accidents and incidents were managed and acted on. Safe recruitment practices were in place. People were protected from the risk of infection. Staff were supported through training and supervision. People were supported to maintain a healthy diet and had access to health care professionals when required.
People told us staff were caring and kind and they respected their dignity and independence. Care records were reflective of individuals needs and preferences. People were aware of the complaints procedures and knew how to raise a complaint. The provider worked in partnership with health and social care professionals to ensure people's needs were planned and met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 18 November 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation for the need for consent, safe care and treatment and good governance. We have also made a recommendation about safe medicines management.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standard of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.