A nursing home has been told it requires improvement after a national report found patients were using beds which were soiled.
Staff at the South Wolds Nursing Home in Tetford have pledged to take on board the Care Quality Commissions comments after being told it requires improvement in all five inspection criteria.
Two inspections took place at the end of last year and the report from the November inspection was published on January 11.
The CQC reports found that all five inspection criteria, including: standards of providing care, standards of caring for people safely and standards of staffing and management, all required improvement.
According to the reports, people were not protected from risk of infection because guidance had not been followed.
“On entering the home we found a strong unpleasant odour was present,” the report said. “This was present throughout our inspection.
“We saw some people’s beds were soiled or in poor condition.
“We observed staff took people to the toilet, handled soiled commodes and then assisted people into bed. However, we did not observe staff wash their hands at any time during our inspection.
“Following our inspection we read the report from the visit on December 3, 2013, by the local authority public health lead nurse for infection control.
“This report highlights similar concerns to ours including...’there were no infection prevention and control policies or procedures and there were no cleaning schedules and no audits undertaken’.”
The CQC also highlighted concerns regarding the safe disposal of clinical waste.
"Supermarket carrier bags were being used as waste bags in waste bins in toilets, bathrooms and bedrooms.
"We did not see any clinical waste bags in use. This meant the home owner did not have suitable arrangements in place for the safe disposal of clinical waste."
The report also noted that the privacy, dignity and independence of patients was not respected.
During two visits the CQC said: “When we arrived we saw some people were in bed. Their lights were switched off and the bedroom door was open.
“We observed the provider walk into a person’s bedroom without knocking on their door. They were talking loudly. We were in the corridor and could hear what they were saying. This meant the provider did not respect the person’s privacy and dignity.”
The CQC also noted one instance when a person’s trousers fell down whilst being assisted to the toilet - the care assistant pulled the person’s trousers up and did not speak to the person or offer any reassurance.
The CQC also judged that people were not cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard and that the provider did not have an effective system to regularly assess and monitor the quality of service that people receive.
Despite some of the CQC’s findings residents at the home said they were well looked after.
One person said: “I’m very happy here, the staff are all lovely and the care is good.”
A relative told the CQC that their parent was well looked after.
“I’m happy with her care. I was unable to look after mother any longer, it’s reassuring that they can look after her,” they said.
Nursing home owner Shailen Munnien told the News: “In a lot of ways our practice has been a bit old fashioned.
“The CQC have identified a few issues and we are working towards fixing these.
“They have been very supportive, as have the county council.
“Our colleagues from social services have also been very supportive.
“We have a good reputation which we hope will be maintained.
“I am confident that we will address these issues.”
Ed Baker, Adult Care Contracts Officer for Lincolnshire County Council, said: “We are aware of CQC’s concerns and are actively working with the home, helping them make the improvements to be compliant with CQC’s standards.”
LETTER: Patients family think CQC report is absurd - http://www.horncastlenews.co.uk/news/letters-opinion/letter-nothing-but-praise-for-tetford-care-home-and-its-staff-1-5826204