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CQC report explained · a nursing home, run by Maria Mallaband Care Group

Corinthian House

Green Hill Lane, Upper Wortley, Leeds, LS12 4EZ

Requires improvementpublished 8 September 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Good
Risks, medicines, infection control and recruitment were managed safely. However, repositioning records and records of actions after some accidents or injuries were not always complete.
Effective?
Good
People received better support with food, drinks and weight monitoring, and staff training and support had improved. Inspectors still found shortfalls in oral health, daily mouth and teeth care, and access to a dentist.
Caring?
Good
Staff were described and observed as kind, respectful and supportive. Some people and relatives said showers were still not frequent.
Responsive?
Good
Activities, outings and support for communication were available, and end-of-life care received positive feedback. Inspectors found that some people stayed in bed or in their rooms without it being clear whether this was their choice or assessed need, with fewer opportunities for interaction.
Well-led?
Requires improvement
Quality checks had become more regular, but they had not led to consistently complete and timely care records. The management systems were still being embedded, and there was no registered manager in post during the inspection.
The latest report, explained

What inspectors found, September 2023

Requires Improvement; inspectors found good safe, effective, caring and responsive care, but weaknesses in management oversight and care records remained.

This was a follow-up inspection after the previous Requires Improvement rating. Inspectors visited on 13 and 27 July 2023, spoke with people, relatives and staff, observed care, and checked care plans, medicines, staff files and management records.

The home had improved in several areas. Inspectors rated Safe, Effective, Caring and Responsive as Good. Medicines and individual risks were managed safely, people received kind care, and activities and communication were available.

The overall rating remained Requires Improvement because management systems were not yet fully established or effective. Daily care records were sometimes incomplete or lacking detail. There were also mixed views about staffing levels, and some people did not have regular showers or enough interaction when staying in their rooms.

The home was still in breach of Regulation 17 on good governance. The provider was no longer in breach of Regulations 9 and 12, which means improvements had been made in person-centred care and risk management.

What inspectors praised
  • Safer care and medicines

    Inspectors found that medicines were managed safely and that individual risks were assessed and monitored. There had also been better monitoring of choking risks, weight loss and PEG care.

    Medicines were managed safely. Individual risks to people were effectively assessed and monitored.from the report
  • Kind and respectful staff

    People and relatives gave positive feedback about the care. Inspectors saw patient and supportive interactions and a friendly atmosphere.

    The home had a friendly, welcoming atmosphere and staff were professional, kind and caring.from the report
  • Improved nutrition support

    Staff knew people's food preferences and dietary needs. Weight loss was monitored more closely and actions were followed up.

    There were improvements in the way people were supported with their nutritional needs.from the report
  • Activities and communication

    The home offered games, outings and visits, and staff adapted communication where needed. A resident ambassador also helped gather people's views.

    Organised activities were available, such as games, and people enjoyed outings to local places as well as visits from an assistance dog.from the report
What inspectors were concerned about
  • Incomplete care records

    serious

    Daily records did not always show clearly and promptly what care people needed and received. The home's audits had identified this but had not fixed it consistently.

    Recording of people's daily care needed to be more consistent and detailed.from the report
  • Management oversight

    serious

    The systems for checking quality and managing risks were not yet robust or fully embedded. This was the reason the home remained in breach of Regulation 17.

    Systems were not yet robust enough or fully embedded to demonstrate effective oversight and management of the service, or to ensure records of care were complete and up to date.from the report
  • Staffing pressure

    needs fixing

    People, relatives and staff gave mixed feedback about staffing. Staff said personal care could be rushed and that they did not always have time to support people with showers.

    Staff told us they did not always have enough time to support people with their personal care, and completing care tasks was often rushed.from the report
  • Limited interaction for some people

    needs fixing

    Some people stayed in bed or in their rooms, and it was not always clear whether this reflected choice or assessed need. They could have fewer opportunities for regular interaction.

    When people were supported to be in the communal areas, there was not always enough for them to do, or opportunities for consistent interaction with staff.from the report
  • Infrequent showers

    needs fixing

    Some people and relatives said there were not always regular opportunities for baths or showers. The provider agreed to review this, including the possible link with staffing levels.

    Most people told us they had no concerns about support for personal care, although some people and relatives said showers were still not frequent.from the report
Questions to ask them, based on this report
  1. 01How are you now checking that daily care records are complete, detailed and written at the right time?
  2. 02How many staff are available on each floor at different times of day, and how do you prevent personal care and showers being rushed or delayed?
  3. 03How do you record whether someone staying in bed or in their room has chosen this, or needs a different type of support and activity?
  4. 04Who is currently responsible for the home while there is no registered manager, and when will the manager registration issue be resolved?
  5. 05What action has been taken to improve oral health checks, daily mouth and teeth care, and access to a dentist?

This was a full follow-up inspection covering all five key questions, including infection prevention and control, after the previous inspection found breaches in Regulations 9, 12 and 17. This explanation was written from the published report of 8 September 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Corinthian House

8 rated inspections over 9 years: the service has held its Requires improvement rating throughout.

  1. September 2023Requires improvementcurrent ratingstayed Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Corinthian House

  2. December 2022Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. November 2021Requires improvement
    Safe: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  5. January 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. December 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. July 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  8. June 2015Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  9. January 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: InadequateWell-led: Requires improvement

    Read this report on cqc.org.uk

  10. July 2014

    Registered with the Care Quality Commission on 15 July 2014.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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