17 February 2022
During an inspection looking at part of the service
Queensgate Care Home is a care home that provides accommodation and personal care for a maximum of 40 older people, including people who may live with dementia. At the time of our inspection there were 28 people using the service.
People’s experience of using this service and what we found
Areas of the service required redecoration, refurbishment and maintenance. The décor looked tired. Whilst some areas within the service provided sensory and tactile stimulation, the main lounge and dining area was not decorated in line with dementia friendly guidance. The provider did not have a refurbishment and redecoration plan in place to identify and plan required works to the premises.
Not all staff received adequate supervision. The registered manager had not had a formal supervision for the duration of their employment. The provider did not have robust recruitment processes in place. We have made a recommendation about this in the inspection report.
Accidents and incidents were not effectively monitored to consider lessons learnt and reduce risks to people.
Quality assurance systems were not operated effectively and failed to ensure compliance with regulations. The registered manager and provider could not demonstrate satisfactory oversight of the safety and quality of the service because records were not always kept and maintained.
People told us they liked the staff and felt well cared for. People’s relatives felt their relatives were safe.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 December 2018)
Why we inspected
We received concerns in relation to infection control and the premises. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards 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.