Allerton Park Care Centre

Inspectors found enough staff and said they were deployed safely across the home. Recruitment checks were also completed safely.

“We found deployment within the service was safe, with a good staff presence in all communal areas.” from the report

Accidents and incidents were recorded and reviewed for patterns and repeated risks.

“Accidents and incidents were well recorded and reviewed regularly by the registered manager who analysed these for trends, patterns, and commonalities.” from the report

Inspectors were assured about several arrangements for preventing and managing infections, including admissions and responding to infection risks.

“We were assured that the provider was responding effectively to risks and signs of infection.” from the report

People's records showed involvement from health professionals, including tissue viability nurses, speech and language therapists and GPs.

“People's records showed involvement from Tissue Viability Nurses, Speech and Language Therapists and GP's.” from the report

Required safety checks and repositioning were often not recorded. Inspectors could not be assured that people consistently received care intended to prevent harm.

“We found large gaps in this documentation, with 1 person on some days only having 1 or 2 repositioning entries documented in a 24-hour period.” from the report

Some doses were missed, medicines were not always given at the correct time, and records did not always show that medicines had been given as prescribed.

“Some people missed doses of their medicines, including a thickening powder which is a high-risk medicine, as it is added to fluids to prevent choking and pain relief.” from the report

The home was tired and sometimes unclean. Inspectors found unsecured hazardous materials, uncovered light bulbs, damaged fire doors and other maintenance risks.

“Hazardous materials such as paints, flammable liquids, and tools were stored in these rooms, but they were not locked.” from the report

Some restrictions were used without the required mental capacity assessments or best interest decisions. People, relatives or advocates were not always involved.

“Mental capacity assessments and best interest decisions were not always in place for people who had restrictions.” from the report

The home's audits and checks did not identify or resolve the problems found by inspectors. This meant risks continued without effective management.

“Provider oversight and monitoring was ineffective in identifying and managing organisational risks.” from the report

Staff did not always change protective equipment between interactions, and parts of the home appeared unclean and smelled unpleasant.

“We observed staff failed to change PPE between interactions with people and when providing food and drink.” from the report