Staff at a nursing home put residents at risk by giving them medication after being told to stop, an inspection found.
Care Quality Commission inspectors carried out an unannounced inspection of Croston Park Nursing Home in May after being made aware of a number of incidents.
Inspectors found staff at the care home, in Croston, were “not administering medicines properly” and some residents did not receive their medication when they should have done.
The care home said it was disappointed in the findings of the report and vowed to improve.
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“On five occasions over a two-week period, one person had received thickened fluids when these had not been prescribed. This was however picked up and acted upon by the provider following the fifth incident.”
The inspectors found some of the medicines counted did not match the care home’s records and observed three examples where pain patch applications had not been applied within the specified timeframe.
Some medicine had passed its use-by date and a fridge used to store medication was not locked.
The report reveals the inspection was prompted partly due to concerns we received about safe care and treatment and in part by notifications of specific incidents.
The inspectors were not confident all members of staff were properly trained to administer end-of-life medication and one medication error, which was not investigated, revealed staff had not followed controlled drug regulations.
The report stated: “Staff recorded when medicines incidents took place. However, we were not assured that action had been taken to prevent reoccurrence.
“Staff could not tell us of any learning following medicines errors, and although some action was taken, we were not fully assured that risks were mitigated, and lessons learned. One error that had not been thoroughly investigated demonstrated staff had not followed controlled drug regulations.”
The inspectors concluded that residents at the home “were not always safe” and the inspection also prompted concerns about the way in which staff were recruited.
The inspectors spoke to 12 members of staff during the inspection including the nominated individual/provider, registered manager, deputy manager, registered nurses, senior care workers and care workers.
“All the staff we spoke with told us they were very happy to work at Croston Park Nursing Home,” the inspectors concluded.
“One staff member told us ‘I enjoy working here, my manager is always hands on and approachable’. Another staff member said ‘the manager always respects our views. I feel valued by the company’.”
The CQC report reveals that Lancashire Fire & Rescue Service had visited Croston Park in May and identified some risks. These were immediately rectified, the report confirmed.
Residents said they enjoyed the food at the home but inspectors found that “where weight loss had been identified the processes in place for recording were not always consistent”.
The inspectors also spoke to some relatives who were “very happy” with the service provided.
One relative said: "Whenever there have been concerns the home action it and put it straight." Another relative said: "The staff are very approachable" and "staff seem to really care."
The care home was given an overall rating of requires improvement. Care homes are rated as either outstanding, good, requires improvement or inadequate. At the previous inspection, in November 2020, Croston Park was rated as good.
A spokesperson for Croston Park Care Home, said: “Needless to say, we are hugely disappointed at getting the first ever adverse report for Croston Park in 13 years under our ownership.
“We have been working very hard at the home with the CQC to resolve the various issues. Mistakes have been made under the very difficult circumstances that all care homes have faced during the pandemic.
"But as a family company we take this report very seriously and are working very hard to get back to the ‘Good’ home status that we have coveted for so many years.
"We promise everyone connected with the home that this is at the front and centre of everything we are doing as a care home provider at the moment.”
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