The Quality Care Commission (CQC) has given the Dundoran Nursing and Residential Care Home in Birkenhead the lowest possible rating of “inadequate” following its latest inspection.
As a result, the care home has been placed into special measures.
The inspection included a review of the infection control and prevention measures in place, to understand the service’s preparedness in preventing or managing an infection outbreak.
At the time of the inspection, an interim manager and clinical lead were assisting as the registered manager had recently been dismissed. The inspection was unannounced and took place from 8 February 2023 to 15 February 2023.
Before the inspection, the inspection team reviewed information received about the service and sought feedback from relevant parties. During the inspection, the inspection team spoke with various individuals, including the provider, the interim manager, clinical leads, staff, visiting professionals, residents, and relatives.
During the inspection, it was found that 26 people were living in the home, most of whom had dementia or other mental health needs.
However, the inspection revealed that the needs and risks of the residents were not properly assessed, monitored, or managed, putting their health, safety, and welfare at risk. The lack of proper information on how to manage and monitor risk meant that staff did not have adequate guidance on how to meet the residents’ needs safely or in a person-centred way.
The records of the care people received were poorly maintained, not always accurate, and did not show that they received the care they needed regarding their health and wellbeing.
Moreover, the care home did not promote a therapeutic or relaxing environment for people with dementia or other mental health needs, and the cleanliness, hygiene, and condition of the premises and equipment were poorly maintained, increasing the risk of infection.
Additionally, there were not enough suitably skilled and experienced staff deployed across the service to meet people’s needs and keep them safe, and staff recruitment was not robust.
Furthermore, the service lacked clear leadership and governance, and the systems and processes used to assess, monitor, and improve the quality and safety of the service were not robust.
There was no registered manager at the time of the inspection, and the interim manager and clinical lead were supporting the service. However, the provider submitted an urgent action plan of improvements to CQC after the inspection, and the local authority took action to support the service.