CQC report explained · a nursing home, run by Lotus Care (Finch Manor)
Finch Manor Nursing Home
Finch Lea Drive, Liverpool, L14 9QN
Rated Inadequate: inspectors found the service performing badly and the CQC has taken enforcement action.
What inspectors found, April 2024
Finch Manor Nursing Home was rated Inadequate and remains in special measures; inspectors found serious, repeated failures that put people at risk of avoidable harm.
This was an unannounced comprehensive inspection over three days. Inspectors spoke with people living in the home, relatives and staff. They reviewed care records, medicines records, staff files and records about the running of the home.
Inspectors found serious problems with care, medicines, staffing and risk management. People's needs were not reliably assessed or met. Accidents and care failures were repeated. Some people waited a long time for help, and clinical care was poorly delivered.
The home was rated Inadequate in all five areas: Safe, Effective, Caring, Responsive and Well-led. The overall rating was unchanged from the previous inspection. The report says the home remains in special measures because significant improvements are needed.
Cleaner environment
Inspectors found that the home was adequately clean during the visit. Cleaning schedules and protective supplies were in place.
“During our visit the home was adequately clean.” from the report
Visitors welcomed
People could have regular visitors, and inspectors saw that visitors were welcomed into the home.
“People were able to have regular visitors and we saw that visitors were welcomed into the home.” from the report
Insufficient staffing
seriousInspectors found that staffing levels were not safe or sufficient, particularly at night. The heavy use of agency staff also meant staff did not always know people's needs.
“Not enough staff were on duty to meet people's needs and keep them safe.” from the report
Poor clinical care
seriousWounds, catheters, continence, nutrition and other health needs were not consistently assessed, treated or monitored. This left people at risk of avoidable harm.
“Wound management was inadequate. People's wounds were not assessed or cared for appropriately to prevent further skin breakdown or infection.” from the report
Dignity not protected
seriousInspectors saw people left in undignified or uncomfortable situations, including one person left with wet food on their clothing and another left with their door open while undressed.
“Another person sat for 20 minutes with wet food all down their front at lunchtime, before any action was taken by staff to help them change.” from the report
Limited activities and personalisation
needs fixingPeople had little meaningful activity and were often left in lounges or bedrooms. Care plans did not consistently reflect people's needs and preferences.
“There was little in the way of any meaningful activities for people to engage with.” from the report
Weak management oversight
seriousAudits identified repeated failings, but managers and the provider did not take robust action to stop them happening again. The manager in post was not registered with CQC at the time of inspection.
“The systems in place to monitor the quality and safety of the service were not effective.” from the report
- 01What immediate changes have been made in response to the urgent action plan?
- 02How are you now checking that medicines, insulin and time-sensitive medicines are given safely and on time?
- 03What staffing levels are provided on each shift, especially at night, and how do you check agency staff understand each person's needs?
- 04How are care plans and risk assessments being reviewed for wounds, nutrition, fluids, continence, repositioning and choking risks?
- 05How are mental capacity assessments, best-interest decisions and consent being recorded and followed?
This was an unannounced comprehensive inspection covering all five key questions, including the premises and care provided; all five ratings remained Inadequate. This explanation was written from the published report of 4 April 2024 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.
Every inspection of Finch Manor Nursing Home
7 rated inspections over 5 years: the service has slipped, from Requires improvement to Inadequate.
- April 2024Inadequatecurrent ratingstayed InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- August 2023Inadequatestayed InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- February 2023InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- March 2022Inspected but not ratedSafe: Inspected but not rated
- May 2021Requires improvementup from InadequateSafe: Requires improvementWell-led: Requires improvement
- September 2020Inadequatestayed InadequateSafe: InadequateWell-led: Inadequate
- October 2019Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- April 2019Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- March 2018
Registered with the Care Quality Commission on 14 March 2018.
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.
Or stay at home with a private carer
Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.